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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeStructureDefinition
IdStructureDefinition-profile-ObservationDefinition.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0/StructureDefinition-profile-ObservationDefinition.html
URLhttp://hl7.org/fhir/5.0/StructureDefinition/profile-ObservationDefinition
Version0.1.0
Statusactive
Date2026-03-17T16:04:43.1939191-05:00
NameProfile_R5_ObservationDefinition_R4
TitleCross-version Profile for R5.ObservationDefinition for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version profile allows R5 ObservationDefinition content to be represented via FHIR R4 ObservationDefinition resources.
TypeObservationDefinition
Kindresource

Resources that use this resource

StructureDefinition
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.contraindicationR5: Specifics for when this is a contraindication (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.indicationR5: Specifics for when this is an indication (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.interactionR5: Specifics for when this is an interaction (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.undesirableEffectR5: A possible negative outcome from the use of this treatment (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-NutritionIntake.instantiatesCanonicalR5: Instantiates FHIR protocol or definition (new)

Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.bodySiteCross-version Extension for R5.ObservationDefinition.bodySite for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.componentCross-version Extension for R5.ObservationDefinition.component for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.derivedFromCanonicalCross-version Extension for R5.ObservationDefinition.derivedFromCanonical for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.derivedFromUriCross-version Extension for R5.ObservationDefinition.derivedFromUri for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.deviceCross-version Extension for R5.ObservationDefinition.device for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.hasMemberCross-version Extension for R5.ObservationDefinition.hasMember for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.jurisdictionCross-version Extension for R5.ObservationDefinition.jurisdiction for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.performerTypeCross-version Extension for R5.ObservationDefinition.performerType for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.qualifiedValueCross-version Extension for R5.ObservationDefinition.qualifiedValue for use in FHIR R4
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ObservationDefinition.qualifiedValue.abnormalCodedValueSetR5: Value set of abnormal coded values as part of this set of qualified values additional types
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ObservationDefinition.qualifiedValue.criticalCodedValueSetR5: Value set of critical coded values as part of this set of qualified values additional types
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ObservationDefinition.qualifiedValue.normalCodedValueSetR5: Value set of normal coded values as part of this set of qualified values additional types
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ObservationDefinition.qualifiedValue.validCodedValueSetR5: Value set of valid coded values as part of this set of qualified values additional types
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.specimenCross-version Extension for R5.ObservationDefinition.specimen for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ObservationDefinition.subjectCross-version Extension for R5.ObservationDefinition.subject for use in FHIR R4

Narrative

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

Generated Narrative: StructureDefinition profile-ObservationDefinition

NameFlagsCard.TypeDescription & Constraintsdoco
.. ObservationDefinition 0..*ObservationDefinition(4.0.1)Definition of an observation
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:url 0..1uriR5: Logical canonical URL to reference this ObservationDefinition (globally unique) (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url
.... extension:version 0..1stringR5: Business version of the ObservationDefinition (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:versionAlgorithm 0..1CodingR5: How to compare versions (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
Binding: version-algorithm (??) (extensible)
.... extension:name 0..1stringR5: Name for this ObservationDefinition (computer friendly) (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-name
.... extension:title 0..1stringR5: Name for this ObservationDefinition (human friendly) (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-title
.... extension:experimental 0..1booleanR5: If for testing purposes, not real usage (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
.... extension:date 0..1dateTimeR5: Date last changed (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... extension:publisher 0..1stringR5: The name of the individual or organization that published the ObservationDefinition (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-publisher
.... extension:contact 0..*ContactDetailR5: Contact details for the publisher (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-contact
.... extension:description 0..1markdownR5: Natural language description of the ObservationDefinition (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
.... extension:useContext 0..*UsageContextR5: Content intends to support these contexts (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
.... extension:jurisdiction 0..*CodeableConceptR5: Intended jurisdiction for this ObservationDefinition (if applicable) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.jurisdiction
.... extension:purpose 0..1markdownR5: Why this ObservationDefinition is defined (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
.... extension:copyright 0..1markdownR5: Use and/or publishing restrictions (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
.... extension:copyrightLabel 0..1stringR5: Copyright holder and year(s) (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
.... extension:approvalDate 0..1dateR5: When ObservationDefinition was approved by publisher (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
.... extension:lastReviewDate 0..1dateR5: Date on which the asset content was last reviewed by the publisher (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
.... extension:effectivePeriod 0..1PeriodR5: The effective date range for the ObservationDefinition (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
.... extension:derivedFromCanonical 0..*canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4(0.1.0) | ObservationDefinition)R5: Based on FHIR definition of another observation (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromCanonical
.... extension:derivedFromUri 0..*uriR5: Based on external definition (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromUri
.... extension:subject 0..*CodeableConceptR5: Type of subject for the defined observation (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.subject
.... extension:performerType 0..1CodeableConceptR5: Desired kind of performer for such kind of observation (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.performerType
.... extension:bodySite 0..1CodeableConceptR5: Body part to be observed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.bodySite
.... extension:specimen 0..*Reference(Cross-version Profile for R5.SpecimenDefinition for use in FHIR R4(0.1.0) | SpecimenDefinition)R5: Kind of specimen used by this type of observation (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.specimen
.... extension:device 0..*Reference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4(0.1.0) | DeviceDefinition | Cross-version Profile for R5.Device for use in FHIR R4(0.1.0) | Device)R5: Measurement device or model of device (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.device
.... extension:hasMember 0..*Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4(0.1.0) | ObservationDefinition | Cross-version Profile for R5.Questionnaire for use in FHIR R4(0.1.0) | Questionnaire)R5: Definitions of related resources belonging to this kind of observation group (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.hasMember
.... extension:component 0..*(Complex)R5: Component results (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.component
.... extension:qualifiedValue 0..*(Complex)R5: Set of qualified values for observation results (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue
... Slices for modifierExtension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... modifierExtension:status 1..1codeR5: draft | active | retired | unknown (new)
URL: http://hl7.org/fhir/StructureDefinition/artifact-status
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... validCodedValueSet
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:validCodedValueSet 0..1canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4(0.1.0) | ValueSet)R5: Value set of valid coded values as part of this set of qualified values additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.validCodedValueSet
... normalCodedValueSet
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:normalCodedValueSet 0..1canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4(0.1.0) | ValueSet)R5: Value set of normal coded values as part of this set of qualified values additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.normalCodedValueSet
... abnormalCodedValueSet
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:abnormalCodedValueSet 0..1canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4(0.1.0) | ValueSet)R5: Value set of abnormal coded values as part of this set of qualified values additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.abnormalCodedValueSet
... criticalCodedValueSet
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:criticalCodedValueSet 0..1canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4(0.1.0) | ValueSet)R5: Value set of critical coded values as part of this set of qualified values additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.criticalCodedValueSet

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "profile-ObservationDefinition",
  "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": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "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/profile-ObservationDefinition",
  "version": "0.1.0",
  "name": "Profile_R5_ObservationDefinition_R4",
  "title": "Cross-version Profile for R5.ObservationDefinition for use in FHIR R4",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:43.1939191-05:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version profile allows R5 ObservationDefinition content to be represented via FHIR R4 ObservationDefinition resources.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ObservationDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ObservationDefinition|4.0.1",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "ObservationDefinition",
        "path": "ObservationDefinition",
        "short": "Definition of an observation",
        "definition": "Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.",
        "comment": "An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "v2",
            "map": "OM2\nOM3\nOMC"
          },
          {
            "identity": "rim",
            "map": "Observation[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id": "ObservationDefinition.id",
        "path": "ObservationDefinition.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "ObservationDefinition.meta",
        "path": "ObservationDefinition.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "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": true
      },
      {
        "id": "ObservationDefinition.implicitRules",
        "path": "ObservationDefinition.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "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": true,
        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary": true
      },
      {
        "id": "ObservationDefinition.language",
        "path": "ObservationDefinition.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages|4.0.1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
        }
      },
      {
        "id": "ObservationDefinition.text",
        "path": "ObservationDefinition.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "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": "Act.text?"
          }
        ]
      },
      {
        "id": "ObservationDefinition.contained",
        "path": "ObservationDefinition.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension",
        "path": "ObservationDefinition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "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": "ObservationDefinition.extension:url",
        "path": "ObservationDefinition.extension",
        "sliceName": "url",
        "short": "R5: Logical canonical URL to reference this ObservationDefinition (globally unique) (new)",
        "definition": "R5: `ObservationDefinition.url` (new:uri)",
        "comment": "Element `ObservationDefinition.url` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.url` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.url`: `http://hl7.org/fhir/StructureDefinition/artifact-url`.\nCan be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. This is the URI that will be used when making canonical references to this resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-url|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:version",
        "path": "ObservationDefinition.extension",
        "sliceName": "version",
        "short": "R5: Business version of the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.version` (new:string)",
        "comment": "Element `ObservationDefinition.version` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.version` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.version`: `http://hl7.org/fhir/StructureDefinition/artifact-version`.\nThere may be multiple different instances of an observationDefinition that have the same identifier but different versions.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:versionAlgorithm",
        "path": "ObservationDefinition.extension",
        "sliceName": "versionAlgorithm",
        "short": "R5: How to compare versions (new)",
        "definition": "R5: `ObservationDefinition.versionAlgorithm[x]` (new:Coding, string)",
        "comment": "Element `ObservationDefinition.versionAlgorithm[x]` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.versionAlgorithm[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.versionAlgorithm[x]`: `http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm`.\nIf set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:name",
        "path": "ObservationDefinition.extension",
        "sliceName": "name",
        "short": "R5: Name for this ObservationDefinition (computer friendly) (new)",
        "definition": "R5: `ObservationDefinition.name` (new:string)",
        "comment": "Element `ObservationDefinition.name` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.name`: `http://hl7.org/fhir/StructureDefinition/artifact-name`.\nThe name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-name|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:title",
        "path": "ObservationDefinition.extension",
        "sliceName": "title",
        "short": "R5: Name for this ObservationDefinition (human friendly) (new)",
        "definition": "R5: `ObservationDefinition.title` (new:string)",
        "comment": "Element `ObservationDefinition.title` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.title`: `http://hl7.org/fhir/StructureDefinition/artifact-title`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-title|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:experimental",
        "path": "ObservationDefinition.extension",
        "sliceName": "experimental",
        "short": "R5: If for testing purposes, not real usage (new)",
        "definition": "R5: `ObservationDefinition.experimental` (new:boolean)",
        "comment": "Element `ObservationDefinition.experimental` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.experimental` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.experimental`: `http://hl7.org/fhir/StructureDefinition/artifact-experimental`.\nAllows filtering of ObservationDefinition that are appropriate for use vs. not.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-experimental|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:date",
        "path": "ObservationDefinition.extension",
        "sliceName": "date",
        "short": "R5: Date last changed (new)",
        "definition": "R5: `ObservationDefinition.date` (new:dateTime)",
        "comment": "Element `ObservationDefinition.date` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.date` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.date`: `http://hl7.org/fhir/StructureDefinition/artifact-date`.\nThe date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-date|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:publisher",
        "path": "ObservationDefinition.extension",
        "sliceName": "publisher",
        "short": "R5: The name of the individual or organization that published the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.publisher` (new:string)",
        "comment": "Element `ObservationDefinition.publisher` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.publisher` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.publisher`: `http://hl7.org/fhir/StructureDefinition/artifact-publisher`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-publisher|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:contact",
        "path": "ObservationDefinition.extension",
        "sliceName": "contact",
        "short": "R5: Contact details for the publisher (new)",
        "definition": "R5: `ObservationDefinition.contact` (new:ContactDetail)",
        "comment": "Element `ObservationDefinition.contact` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.contact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.contact`: `http://hl7.org/fhir/StructureDefinition/artifact-contact`.\nMay be a web site, an email address, a telephone number, etc.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-contact|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:description",
        "path": "ObservationDefinition.extension",
        "sliceName": "description",
        "short": "R5: Natural language description of the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.description` (new:markdown)",
        "comment": "Element `ObservationDefinition.description` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.description`: `http://hl7.org/fhir/StructureDefinition/artifact-description`.\nThis description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-description|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:useContext",
        "path": "ObservationDefinition.extension",
        "sliceName": "useContext",
        "short": "R5: Content intends to support these contexts (new)",
        "definition": "R5: `ObservationDefinition.useContext` (new:UsageContext)",
        "comment": "Element `ObservationDefinition.useContext` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.useContext` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.useContext`: `http://hl7.org/fhir/StructureDefinition/artifact-useContext`.\nWhen multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-useContext|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:jurisdiction",
        "path": "ObservationDefinition.extension",
        "sliceName": "jurisdiction",
        "short": "R5: Intended jurisdiction for this ObservationDefinition (if applicable) (new)",
        "definition": "R5: `ObservationDefinition.jurisdiction` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.jurisdiction` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.jurisdiction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nElement `ObservationDefinition.jurisdiction` has been flagged as deprecated.\nIt may be possible for the ObservationDefinition to be used in jurisdictions other than those for which it was originally designed or intended.\n\nDEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.jurisdiction|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:purpose",
        "path": "ObservationDefinition.extension",
        "sliceName": "purpose",
        "short": "R5: Why this ObservationDefinition is defined (new)",
        "definition": "R5: `ObservationDefinition.purpose` (new:markdown)",
        "comment": "Element `ObservationDefinition.purpose` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.purpose` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.purpose`: `http://hl7.org/fhir/StructureDefinition/artifact-purpose`.\nThis element does not describe the usage of the ObservationDefinition. Rather it is for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-purpose|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:copyright",
        "path": "ObservationDefinition.extension",
        "sliceName": "copyright",
        "short": "R5: Use and/or publishing restrictions (new)",
        "definition": "R5: `ObservationDefinition.copyright` (new:markdown)",
        "comment": "Element `ObservationDefinition.copyright` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.copyright`: `http://hl7.org/fhir/StructureDefinition/artifact-copyright`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-copyright|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:copyrightLabel",
        "path": "ObservationDefinition.extension",
        "sliceName": "copyrightLabel",
        "short": "R5: Copyright holder and year(s) (new)",
        "definition": "R5: `ObservationDefinition.copyrightLabel` (new:string)",
        "comment": "Element `ObservationDefinition.copyrightLabel` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.copyrightLabel` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.copyrightLabel`: `http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel`.\nThe (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:approvalDate",
        "path": "ObservationDefinition.extension",
        "sliceName": "approvalDate",
        "short": "R5: When ObservationDefinition was approved by publisher (new)",
        "definition": "R5: `ObservationDefinition.approvalDate` (new:date)",
        "comment": "Element `ObservationDefinition.approvalDate` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.approvalDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.approvalDate`: `http://hl7.org/fhir/StructureDefinition/artifact-approvalDate`.\nThe date may be more recent than the approval date because of minor changes / editorial corrections.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-approvalDate|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:lastReviewDate",
        "path": "ObservationDefinition.extension",
        "sliceName": "lastReviewDate",
        "short": "R5: Date on which the asset content was last reviewed by the publisher (new)",
        "definition": "R5: `ObservationDefinition.lastReviewDate` (new:date)",
        "comment": "Element `ObservationDefinition.lastReviewDate` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.lastReviewDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.lastReviewDate`: `http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate`.\nIf specified, this is usually after the approval date.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:effectivePeriod",
        "path": "ObservationDefinition.extension",
        "sliceName": "effectivePeriod",
        "short": "R5: The effective date range for the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.effectivePeriod` (new:Period)",
        "comment": "Element `ObservationDefinition.effectivePeriod` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.effectivePeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.effectivePeriod`: `http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod`.\nThe effective period for an ObservationDefinition determines when the content is applicable for usage and is independent of publication and review dates. For example, an observation definition intended to be used for the year 2021 might be published in 2020.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:derivedFromCanonical",
        "path": "ObservationDefinition.extension",
        "sliceName": "derivedFromCanonical",
        "short": "R5: Based on FHIR definition of another observation (new)",
        "definition": "R5: `ObservationDefinition.derivedFromCanonical` (new:canonical(ObservationDefinition))",
        "comment": "Element `ObservationDefinition.derivedFromCanonical` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.derivedFromCanonical` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromCanonical|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:derivedFromUri",
        "path": "ObservationDefinition.extension",
        "sliceName": "derivedFromUri",
        "short": "R5: Based on external definition (new)",
        "definition": "R5: `ObservationDefinition.derivedFromUri` (new:uri)",
        "comment": "Element `ObservationDefinition.derivedFromUri` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.derivedFromUri` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromUri|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:subject",
        "path": "ObservationDefinition.extension",
        "sliceName": "subject",
        "short": "R5: Type of subject for the defined observation (new)",
        "definition": "R5: `ObservationDefinition.subject` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.subject` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nExamples: person, animal, device, air, surface ….",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.subject|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:performerType",
        "path": "ObservationDefinition.extension",
        "sliceName": "performerType",
        "short": "R5: Desired kind of performer for such kind of observation (new)",
        "definition": "R5: `ObservationDefinition.performerType` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.performerType` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.performerType` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.performerType|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:bodySite",
        "path": "ObservationDefinition.extension",
        "sliceName": "bodySite",
        "short": "R5: Body part to be observed (new)",
        "definition": "R5: `ObservationDefinition.bodySite` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.bodySite` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.bodySite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nOnly used if the defined observation is to be made directly on a body part and if this body part is not implied by code found in ObservationDefinition.code. Not used for in vitro diagnostic observations. \nExample: 14975008 |Forearm structure|.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.bodySite|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:specimen",
        "path": "ObservationDefinition.extension",
        "sliceName": "specimen",
        "short": "R5: Kind of specimen used by this type of observation (new)",
        "definition": "R5: `ObservationDefinition.specimen` (new:Reference(SpecimenDefinition))",
        "comment": "Element `ObservationDefinition.specimen` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.specimen` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nOnly used for in vitro observations. When multiple occurrences of specimen are present, they are to be combined with a logical AND: all specified specimens  are needed for the observation.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.specimen|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:device",
        "path": "ObservationDefinition.extension",
        "sliceName": "device",
        "short": "R5: Measurement device or model of device (new)",
        "definition": "R5: `ObservationDefinition.device` (new:Reference(DeviceDefinition,Device))",
        "comment": "Element `ObservationDefinition.device` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.device` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen multiple occurrences of device are present, they are to be combined with a logical OR: at least one of the specified devices is used to produce the observation.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.device|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:hasMember",
        "path": "ObservationDefinition.extension",
        "sliceName": "hasMember",
        "short": "R5: Definitions of related resources belonging to this kind of observation group (new)",
        "definition": "R5: `ObservationDefinition.hasMember` (new:Reference(ObservationDefinition,Questionnaire))",
        "comment": "Element `ObservationDefinition.hasMember` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.hasMember` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.hasMember|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:component",
        "path": "ObservationDefinition.extension",
        "sliceName": "component",
        "short": "R5: Component results (new)",
        "definition": "R5: `ObservationDefinition.component` (new:BackboneElement)",
        "comment": "Element `ObservationDefinition.component` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.component` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.component|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.extension:qualifiedValue",
        "path": "ObservationDefinition.extension",
        "sliceName": "qualifiedValue",
        "short": "R5: Set of qualified values for observation results (new)",
        "definition": "R5: `ObservationDefinition.component.qualifiedValue` (new:ObservationDefinition.qualifiedValue)",
        "comment": "Element `ObservationDefinition.component.qualifiedValue` is part of an existing definition because parent element `ObservationDefinition.component` requires a cross-version extension.\nElement `ObservationDefinition.component.qualifiedValue` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.component.qualifiedValue` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue|0.1.0"
            ]
          }
        ],
        "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,
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.modifierExtension",
        "path": "ObservationDefinition.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "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": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.modifierExtension:status",
        "path": "ObservationDefinition.modifierExtension",
        "sliceName": "status",
        "short": "R5: draft | active | retired | unknown (new)",
        "definition": "R5: `ObservationDefinition.status` (new:code)",
        "comment": "Element `ObservationDefinition.status` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.status`: `http://hl7.org/fhir/StructureDefinition/artifact-status`.\nA nominal state-transition diagram can be found in the [Definition pattern](https://hl7.org/fhir/definition.ht.html#statemachine) documentation\nUnknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-status|5.2.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not use a retired CodeSystem without due consideration",
        "isSummary": false
      },
      {
        "id": "ObservationDefinition.category",
        "path": "ObservationDefinition.category",
        "short": "Category of observation",
        "definition": "A code that classifies the general type of observation.",
        "comment": "This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.",
        "requirements": "Used for filtering what kinds of observations are retrieved and displayed.",
        "alias": [
          "Class of observation"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition.category",
          "min": 0,
          "max": "*"
        },
        "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationCategory"
            }
          ],
          "strength": "example",
          "description": "Codes for high level observation categories.",
          "valueSet": "http://hl7.org/fhir/ValueSet/observation-category|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"DEF\"].code"
          }
        ]
      },
      {
        "id": "ObservationDefinition.code",
        "path": "ObservationDefinition.code",
        "short": "Type of observation (code / type)",
        "definition": "Describes what will be observed. Sometimes this is called the observation \"name\".",
        "requirements": "Knowing what kind of observation is being made is essential to understanding the observation.",
        "alias": [
          "Name"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.code",
          "min": 1,
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationCode"
            }
          ],
          "strength": "example",
          "description": "Codes identifying names of simple observations.",
          "valueSet": "http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.what[x]"
          },
          {
            "identity": "v2",
            "map": "OM1-2\nOMC-4"
          },
          {
            "identity": "rim",
            "map": "code"
          }
        ]
      },
      {
        "id": "ObservationDefinition.identifier",
        "path": "ObservationDefinition.identifier",
        "short": "Business identifier for this ObservationDefinition instance",
        "definition": "A unique identifier assigned to this ObservationDefinition artifact.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition.identifier",
          "min": 0,
          "max": "*"
        },
        "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": true
      },
      {
        "id": "ObservationDefinition.permittedDataType",
        "path": "ObservationDefinition.permittedDataType",
        "short": "Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period",
        "definition": "The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition.permittedDataType",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueCode": "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationDataType"
            }
          ],
          "strength": "required",
          "description": "Permitted data type for observation value.",
          "valueSet": "http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OM1-3"
          }
        ]
      },
      {
        "id": "ObservationDefinition.multipleResultsAllowed",
        "path": "ObservationDefinition.multipleResultsAllowed",
        "short": "Multiple results allowed",
        "definition": "Multiple results allowed for observations conforming to this ObservationDefinition.",
        "comment": "An example of observation allowing multiple results is \"bacteria identified by culture\". Conversely, the measurement of a potassium level allows a single result.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.multipleResultsAllowed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueBoolean": true
          }
        ],
        "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
      },
      {
        "id": "ObservationDefinition.method",
        "path": "ObservationDefinition.method",
        "short": "Method used to produce the observation",
        "definition": "The method or technique used to perform the observation.",
        "comment": "Only used if not implicit in observation code.",
        "requirements": "In some cases, method can impact results.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.method",
          "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationMethod"
            }
          ],
          "strength": "example",
          "description": "Methods for simple observations.",
          "valueSet": "http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OM1-14"
          },
          {
            "identity": "rim",
            "map": "methodCode"
          }
        ]
      },
      {
        "id": "ObservationDefinition.preferredReportName",
        "path": "ObservationDefinition.preferredReportName",
        "short": "Preferred report name",
        "definition": "The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.preferredReportName",
          "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": "v2",
            "map": "OM1-9"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails",
        "path": "ObservationDefinition.quantitativeDetails",
        "short": "Characteristics of quantitative results",
        "definition": "Characteristics for quantitative results of this observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.quantitativeDetails",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "v2",
            "map": "OM2"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails.id",
        "path": "ObservationDefinition.quantitativeDetails.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": "ObservationDefinition.quantitativeDetails.extension",
        "path": "ObservationDefinition.quantitativeDetails.extension",
        "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": "ObservationDefinition.quantitativeDetails.modifierExtension",
        "path": "ObservationDefinition.quantitativeDetails.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails.customaryUnit",
        "path": "ObservationDefinition.quantitativeDetails.customaryUnit",
        "short": "Customary unit for quantitative results",
        "definition": "Customary unit used to report quantitative results of observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.quantitativeDetails.customaryUnit",
          "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationUnit"
            }
          ],
          "strength": "extensible",
          "description": "Codes identifying units of measure.",
          "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OM2-2"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails.unit",
        "path": "ObservationDefinition.quantitativeDetails.unit",
        "short": "SI unit for quantitative results",
        "definition": "SI unit used to report quantitative results of observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.quantitativeDetails.unit",
          "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationUnit"
            }
          ],
          "strength": "extensible",
          "description": "Codes identifying units of measure.",
          "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OM2-4"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails.conversionFactor",
        "path": "ObservationDefinition.quantitativeDetails.conversionFactor",
        "short": "SI to Customary unit conversion factor",
        "definition": "Factor for converting value expressed with SI unit to value expressed with customary unit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.quantitativeDetails.conversionFactor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "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": "v2",
            "map": "OM2-5"
          }
        ]
      },
      {
        "id": "ObservationDefinition.quantitativeDetails.decimalPrecision",
        "path": "ObservationDefinition.quantitativeDetails.decimalPrecision",
        "short": "Decimal precision of observation quantitative results",
        "definition": "Number of digits after decimal separator when the results of such observations are of type Quantity.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.quantitativeDetails.decimalPrecision",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ],
        "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": "v2",
            "map": "OM2-3"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval",
        "path": "ObservationDefinition.qualifiedInterval",
        "short": "Qualified range for continuous and ordinal observation results",
        "definition": "Multiple  ranges of results qualified by different contexts for ordinal or continuous observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "v2",
            "map": "OM2-6"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.id",
        "path": "ObservationDefinition.qualifiedInterval.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": "ObservationDefinition.qualifiedInterval.extension",
        "path": "ObservationDefinition.qualifiedInterval.extension",
        "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": "ObservationDefinition.qualifiedInterval.modifierExtension",
        "path": "ObservationDefinition.qualifiedInterval.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.category",
        "path": "ObservationDefinition.qualifiedInterval.category",
        "short": "reference | critical | absolute",
        "definition": "The category of interval of values for continuous or ordinal observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.category",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueCode": "critical"
          }
        ],
        "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationRangeCategory"
            }
          ],
          "strength": "required",
          "description": "Codes identifying the category of observation range.",
          "valueSet": "http://hl7.org/fhir/ValueSet/observation-range-category|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OM-2"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.range",
        "path": "ObservationDefinition.qualifiedInterval.range",
        "short": "The interval itself, for continuous or ordinal observations",
        "definition": "The low and high values determining the interval. There may be only one of the two.",
        "requirements": "The unit may be not relevant for ordinal values. In case it is there, it is the same as quantitativeDetails.unit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.range",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Range"
          }
        ],
        "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": "v2",
            "map": "OM-2"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.context",
        "path": "ObservationDefinition.qualifiedInterval.context",
        "short": "Range context qualifier",
        "definition": "Codes to indicate the health context the range applies to. For example, the normal or therapeutic range.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.context",
          "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationRangeMeaning"
            }
          ],
          "strength": "extensible",
          "description": "Code identifying the health context of a range.",
          "valueSet": "http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "n.a."
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.appliesTo",
        "path": "ObservationDefinition.qualifiedInterval.appliesTo",
        "short": "Targetted population of the range",
        "definition": "Codes to indicate the target population this reference range applies to.",
        "comment": "If this element is not present then the global population is assumed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.appliesTo",
          "min": 0,
          "max": "*"
        },
        "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationRangeAppliesTo"
            }
          ],
          "strength": "example",
          "description": "Codes identifying the population the reference range applies to.",
          "valueSet": "http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RFR.6"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.gender",
        "path": "ObservationDefinition.qualifiedInterval.gender",
        "short": "male | female | other | unknown",
        "definition": "Sex of the population the range applies to.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.gender",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueCode": "female"
          }
        ],
        "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": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdministrativeGender"
            }
          ],
          "strength": "required",
          "description": "The gender of a person used for administrative purposes.",
          "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RFR.2"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.age",
        "path": "ObservationDefinition.qualifiedInterval.age",
        "short": "Applicable age range, if relevant",
        "definition": "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
        "comment": "Some analytes vary greatly over age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.age",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Range"
          }
        ],
        "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": "v2",
            "map": "RFR.3"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.gestationalAge",
        "path": "ObservationDefinition.qualifiedInterval.gestationalAge",
        "short": "Applicable gestational age range, if relevant",
        "definition": "The gestational age to which this reference range is applicable, in the context of pregnancy.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.gestationalAge",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Range"
          }
        ],
        "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": "v2",
            "map": "RFR.4"
          }
        ]
      },
      {
        "id": "ObservationDefinition.qualifiedInterval.condition",
        "path": "ObservationDefinition.qualifiedInterval.condition",
        "short": "Condition associated with the reference range",
        "definition": "Text based condition for which the reference range is valid.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.qualifiedInterval.condition",
          "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": "v2",
            "map": "RFR.7"
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet",
        "path": "ObservationDefinition.validCodedValueSet",
        "short": "Value set of valid coded values for the observations conforming to this ObservationDefinition",
        "definition": "The set of valid coded results for the observations  conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.validCodedValueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ValueSet|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": "v2",
            "map": "OM3-3"
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.id",
        "path": "ObservationDefinition.validCodedValueSet.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": "ObservationDefinition.validCodedValueSet.extension",
        "path": "ObservationDefinition.validCodedValueSet.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": "ObservationDefinition.validCodedValueSet.extension:validCodedValueSet",
        "path": "ObservationDefinition.validCodedValueSet.extension",
        "sliceName": "validCodedValueSet",
        "short": "R5: Value set of valid coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.validCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.validCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.validCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.validCodedValueSet|0.1.0"
            ]
          }
        ],
        "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": "ObservationDefinition.validCodedValueSet.reference",
        "path": "ObservationDefinition.validCodedValueSet.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.type",
        "path": "ObservationDefinition.validCodedValueSet.type",
        "short": "Type the reference refers to (e.g. \"Patient\")",
        "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.type",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "FHIRResourceTypeExt"
            }
          ],
          "strength": "extensible",
          "description": "Aa resource (or, for logical models, the URI of the logical model).",
          "valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.identifier",
        "path": "ObservationDefinition.validCodedValueSet.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ObservationDefinition.validCodedValueSet.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet",
        "path": "ObservationDefinition.normalCodedValueSet",
        "short": "Value set of normal coded values for the observations conforming to this ObservationDefinition",
        "definition": "The set of normal coded results for the observations conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.normalCodedValueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ValueSet|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": "v2",
            "map": "OM3-4"
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.id",
        "path": "ObservationDefinition.normalCodedValueSet.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": "ObservationDefinition.normalCodedValueSet.extension",
        "path": "ObservationDefinition.normalCodedValueSet.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": "ObservationDefinition.normalCodedValueSet.extension:normalCodedValueSet",
        "path": "ObservationDefinition.normalCodedValueSet.extension",
        "sliceName": "normalCodedValueSet",
        "short": "R5: Value set of normal coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.normalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.normalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.normalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.normalCodedValueSet|0.1.0"
            ]
          }
        ],
        "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": "ObservationDefinition.normalCodedValueSet.reference",
        "path": "ObservationDefinition.normalCodedValueSet.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.type",
        "path": "ObservationDefinition.normalCodedValueSet.type",
        "short": "Type the reference refers to (e.g. \"Patient\")",
        "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.type",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "FHIRResourceTypeExt"
            }
          ],
          "strength": "extensible",
          "description": "Aa resource (or, for logical models, the URI of the logical model).",
          "valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.identifier",
        "path": "ObservationDefinition.normalCodedValueSet.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ObservationDefinition.normalCodedValueSet.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet",
        "path": "ObservationDefinition.abnormalCodedValueSet",
        "short": "Value set of abnormal coded values for the observations conforming to this ObservationDefinition",
        "definition": "The set of abnormal coded results for the observation conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.abnormalCodedValueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ValueSet|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": "v2",
            "map": "OM3-5"
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.id",
        "path": "ObservationDefinition.abnormalCodedValueSet.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": "ObservationDefinition.abnormalCodedValueSet.extension",
        "path": "ObservationDefinition.abnormalCodedValueSet.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": "ObservationDefinition.abnormalCodedValueSet.extension:abnormalCodedValueSet",
        "path": "ObservationDefinition.abnormalCodedValueSet.extension",
        "sliceName": "abnormalCodedValueSet",
        "short": "R5: Value set of abnormal coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.abnormalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.abnormalCodedValueSet|0.1.0"
            ]
          }
        ],
        "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": "ObservationDefinition.abnormalCodedValueSet.reference",
        "path": "ObservationDefinition.abnormalCodedValueSet.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.type",
        "path": "ObservationDefinition.abnormalCodedValueSet.type",
        "short": "Type the reference refers to (e.g. \"Patient\")",
        "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.type",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "FHIRResourceTypeExt"
            }
          ],
          "strength": "extensible",
          "description": "Aa resource (or, for logical models, the URI of the logical model).",
          "valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.identifier",
        "path": "ObservationDefinition.abnormalCodedValueSet.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ObservationDefinition.abnormalCodedValueSet.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet",
        "path": "ObservationDefinition.criticalCodedValueSet",
        "short": "Value set of critical coded values for the observations conforming to this ObservationDefinition",
        "definition": "The set of critical coded results for the observation conforming to this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ObservationDefinition.criticalCodedValueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ValueSet|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": "v2",
            "map": "OM3-6"
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.id",
        "path": "ObservationDefinition.criticalCodedValueSet.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": "ObservationDefinition.criticalCodedValueSet.extension",
        "path": "ObservationDefinition.criticalCodedValueSet.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": "ObservationDefinition.criticalCodedValueSet.extension:criticalCodedValueSet",
        "path": "ObservationDefinition.criticalCodedValueSet.extension",
        "sliceName": "criticalCodedValueSet",
        "short": "R5: Value set of critical coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.criticalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.criticalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.criticalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.criticalCodedValueSet|0.1.0"
            ]
          }
        ],
        "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": "ObservationDefinition.criticalCodedValueSet.reference",
        "path": "ObservationDefinition.criticalCodedValueSet.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.type",
        "path": "ObservationDefinition.criticalCodedValueSet.type",
        "short": "Type the reference refers to (e.g. \"Patient\")",
        "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.type",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "FHIRResourceTypeExt"
            }
          ],
          "strength": "extensible",
          "description": "Aa resource (or, for logical models, the URI of the logical model).",
          "valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.identifier",
        "path": "ObservationDefinition.criticalCodedValueSet.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ObservationDefinition.criticalCodedValueSet.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "ObservationDefinition",
        "path": "ObservationDefinition"
      },
      {
        "id": "ObservationDefinition.extension",
        "path": "ObservationDefinition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.extension:url",
        "path": "ObservationDefinition.extension",
        "sliceName": "url",
        "short": "R5: Logical canonical URL to reference this ObservationDefinition (globally unique) (new)",
        "definition": "R5: `ObservationDefinition.url` (new:uri)",
        "comment": "Element `ObservationDefinition.url` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.url` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.url`: `http://hl7.org/fhir/StructureDefinition/artifact-url`.\nCan be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. This is the URI that will be used when making canonical references to this resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-url|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:version",
        "path": "ObservationDefinition.extension",
        "sliceName": "version",
        "short": "R5: Business version of the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.version` (new:string)",
        "comment": "Element `ObservationDefinition.version` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.version` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.version`: `http://hl7.org/fhir/StructureDefinition/artifact-version`.\nThere may be multiple different instances of an observationDefinition that have the same identifier but different versions.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:versionAlgorithm",
        "path": "ObservationDefinition.extension",
        "sliceName": "versionAlgorithm",
        "short": "R5: How to compare versions (new)",
        "definition": "R5: `ObservationDefinition.versionAlgorithm[x]` (new:Coding, string)",
        "comment": "Element `ObservationDefinition.versionAlgorithm[x]` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.versionAlgorithm[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.versionAlgorithm[x]`: `http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm`.\nIf set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:name",
        "path": "ObservationDefinition.extension",
        "sliceName": "name",
        "short": "R5: Name for this ObservationDefinition (computer friendly) (new)",
        "definition": "R5: `ObservationDefinition.name` (new:string)",
        "comment": "Element `ObservationDefinition.name` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.name`: `http://hl7.org/fhir/StructureDefinition/artifact-name`.\nThe name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-name|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:title",
        "path": "ObservationDefinition.extension",
        "sliceName": "title",
        "short": "R5: Name for this ObservationDefinition (human friendly) (new)",
        "definition": "R5: `ObservationDefinition.title` (new:string)",
        "comment": "Element `ObservationDefinition.title` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.title`: `http://hl7.org/fhir/StructureDefinition/artifact-title`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-title|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:experimental",
        "path": "ObservationDefinition.extension",
        "sliceName": "experimental",
        "short": "R5: If for testing purposes, not real usage (new)",
        "definition": "R5: `ObservationDefinition.experimental` (new:boolean)",
        "comment": "Element `ObservationDefinition.experimental` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.experimental` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.experimental`: `http://hl7.org/fhir/StructureDefinition/artifact-experimental`.\nAllows filtering of ObservationDefinition that are appropriate for use vs. not.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-experimental|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:date",
        "path": "ObservationDefinition.extension",
        "sliceName": "date",
        "short": "R5: Date last changed (new)",
        "definition": "R5: `ObservationDefinition.date` (new:dateTime)",
        "comment": "Element `ObservationDefinition.date` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.date` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.date`: `http://hl7.org/fhir/StructureDefinition/artifact-date`.\nThe date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-date|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:publisher",
        "path": "ObservationDefinition.extension",
        "sliceName": "publisher",
        "short": "R5: The name of the individual or organization that published the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.publisher` (new:string)",
        "comment": "Element `ObservationDefinition.publisher` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.publisher` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.publisher`: `http://hl7.org/fhir/StructureDefinition/artifact-publisher`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-publisher|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:contact",
        "path": "ObservationDefinition.extension",
        "sliceName": "contact",
        "short": "R5: Contact details for the publisher (new)",
        "definition": "R5: `ObservationDefinition.contact` (new:ContactDetail)",
        "comment": "Element `ObservationDefinition.contact` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.contact` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.contact`: `http://hl7.org/fhir/StructureDefinition/artifact-contact`.\nMay be a web site, an email address, a telephone number, etc.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-contact|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:description",
        "path": "ObservationDefinition.extension",
        "sliceName": "description",
        "short": "R5: Natural language description of the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.description` (new:markdown)",
        "comment": "Element `ObservationDefinition.description` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.description`: `http://hl7.org/fhir/StructureDefinition/artifact-description`.\nThis description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-description|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:useContext",
        "path": "ObservationDefinition.extension",
        "sliceName": "useContext",
        "short": "R5: Content intends to support these contexts (new)",
        "definition": "R5: `ObservationDefinition.useContext` (new:UsageContext)",
        "comment": "Element `ObservationDefinition.useContext` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.useContext` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.useContext`: `http://hl7.org/fhir/StructureDefinition/artifact-useContext`.\nWhen multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-useContext|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:jurisdiction",
        "path": "ObservationDefinition.extension",
        "sliceName": "jurisdiction",
        "short": "R5: Intended jurisdiction for this ObservationDefinition (if applicable) (new)",
        "definition": "R5: `ObservationDefinition.jurisdiction` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.jurisdiction` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.jurisdiction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nElement `ObservationDefinition.jurisdiction` has been flagged as deprecated.\nIt may be possible for the ObservationDefinition to be used in jurisdictions other than those for which it was originally designed or intended.\n\nDEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.jurisdiction|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:purpose",
        "path": "ObservationDefinition.extension",
        "sliceName": "purpose",
        "short": "R5: Why this ObservationDefinition is defined (new)",
        "definition": "R5: `ObservationDefinition.purpose` (new:markdown)",
        "comment": "Element `ObservationDefinition.purpose` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.purpose` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.purpose`: `http://hl7.org/fhir/StructureDefinition/artifact-purpose`.\nThis element does not describe the usage of the ObservationDefinition. Rather it is for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this ObservationDefinition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-purpose|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:copyright",
        "path": "ObservationDefinition.extension",
        "sliceName": "copyright",
        "short": "R5: Use and/or publishing restrictions (new)",
        "definition": "R5: `ObservationDefinition.copyright` (new:markdown)",
        "comment": "Element `ObservationDefinition.copyright` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.copyright` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.copyright`: `http://hl7.org/fhir/StructureDefinition/artifact-copyright`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-copyright|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:copyrightLabel",
        "path": "ObservationDefinition.extension",
        "sliceName": "copyrightLabel",
        "short": "R5: Copyright holder and year(s) (new)",
        "definition": "R5: `ObservationDefinition.copyrightLabel` (new:string)",
        "comment": "Element `ObservationDefinition.copyrightLabel` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.copyrightLabel` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.copyrightLabel`: `http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel`.\nThe (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:approvalDate",
        "path": "ObservationDefinition.extension",
        "sliceName": "approvalDate",
        "short": "R5: When ObservationDefinition was approved by publisher (new)",
        "definition": "R5: `ObservationDefinition.approvalDate` (new:date)",
        "comment": "Element `ObservationDefinition.approvalDate` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.approvalDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.approvalDate`: `http://hl7.org/fhir/StructureDefinition/artifact-approvalDate`.\nThe date may be more recent than the approval date because of minor changes / editorial corrections.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-approvalDate|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:lastReviewDate",
        "path": "ObservationDefinition.extension",
        "sliceName": "lastReviewDate",
        "short": "R5: Date on which the asset content was last reviewed by the publisher (new)",
        "definition": "R5: `ObservationDefinition.lastReviewDate` (new:date)",
        "comment": "Element `ObservationDefinition.lastReviewDate` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.lastReviewDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.lastReviewDate`: `http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate`.\nIf specified, this is usually after the approval date.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:effectivePeriod",
        "path": "ObservationDefinition.extension",
        "sliceName": "effectivePeriod",
        "short": "R5: The effective date range for the ObservationDefinition (new)",
        "definition": "R5: `ObservationDefinition.effectivePeriod` (new:Period)",
        "comment": "Element `ObservationDefinition.effectivePeriod` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.effectivePeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.effectivePeriod`: `http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod`.\nThe effective period for an ObservationDefinition determines when the content is applicable for usage and is independent of publication and review dates. For example, an observation definition intended to be used for the year 2021 might be published in 2020.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:derivedFromCanonical",
        "path": "ObservationDefinition.extension",
        "sliceName": "derivedFromCanonical",
        "short": "R5: Based on FHIR definition of another observation (new)",
        "definition": "R5: `ObservationDefinition.derivedFromCanonical` (new:canonical(ObservationDefinition))",
        "comment": "Element `ObservationDefinition.derivedFromCanonical` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.derivedFromCanonical` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromCanonical|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:derivedFromUri",
        "path": "ObservationDefinition.extension",
        "sliceName": "derivedFromUri",
        "short": "R5: Based on external definition (new)",
        "definition": "R5: `ObservationDefinition.derivedFromUri` (new:uri)",
        "comment": "Element `ObservationDefinition.derivedFromUri` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.derivedFromUri` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromUri|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:subject",
        "path": "ObservationDefinition.extension",
        "sliceName": "subject",
        "short": "R5: Type of subject for the defined observation (new)",
        "definition": "R5: `ObservationDefinition.subject` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.subject` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nExamples: person, animal, device, air, surface ….",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.subject|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:performerType",
        "path": "ObservationDefinition.extension",
        "sliceName": "performerType",
        "short": "R5: Desired kind of performer for such kind of observation (new)",
        "definition": "R5: `ObservationDefinition.performerType` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.performerType` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.performerType` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.performerType|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:bodySite",
        "path": "ObservationDefinition.extension",
        "sliceName": "bodySite",
        "short": "R5: Body part to be observed (new)",
        "definition": "R5: `ObservationDefinition.bodySite` (new:CodeableConcept)",
        "comment": "Element `ObservationDefinition.bodySite` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.bodySite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nOnly used if the defined observation is to be made directly on a body part and if this body part is not implied by code found in ObservationDefinition.code. Not used for in vitro diagnostic observations. \nExample: 14975008 |Forearm structure|.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.bodySite|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:specimen",
        "path": "ObservationDefinition.extension",
        "sliceName": "specimen",
        "short": "R5: Kind of specimen used by this type of observation (new)",
        "definition": "R5: `ObservationDefinition.specimen` (new:Reference(SpecimenDefinition))",
        "comment": "Element `ObservationDefinition.specimen` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.specimen` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nOnly used for in vitro observations. When multiple occurrences of specimen are present, they are to be combined with a logical AND: all specified specimens  are needed for the observation.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.specimen|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:device",
        "path": "ObservationDefinition.extension",
        "sliceName": "device",
        "short": "R5: Measurement device or model of device (new)",
        "definition": "R5: `ObservationDefinition.device` (new:Reference(DeviceDefinition,Device))",
        "comment": "Element `ObservationDefinition.device` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.device` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen multiple occurrences of device are present, they are to be combined with a logical OR: at least one of the specified devices is used to produce the observation.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.device|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:hasMember",
        "path": "ObservationDefinition.extension",
        "sliceName": "hasMember",
        "short": "R5: Definitions of related resources belonging to this kind of observation group (new)",
        "definition": "R5: `ObservationDefinition.hasMember` (new:Reference(ObservationDefinition,Questionnaire))",
        "comment": "Element `ObservationDefinition.hasMember` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.hasMember` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.hasMember|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:component",
        "path": "ObservationDefinition.extension",
        "sliceName": "component",
        "short": "R5: Component results (new)",
        "definition": "R5: `ObservationDefinition.component` (new:BackboneElement)",
        "comment": "Element `ObservationDefinition.component` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.component` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.component|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.extension:qualifiedValue",
        "path": "ObservationDefinition.extension",
        "sliceName": "qualifiedValue",
        "short": "R5: Set of qualified values for observation results (new)",
        "definition": "R5: `ObservationDefinition.component.qualifiedValue` (new:ObservationDefinition.qualifiedValue)",
        "comment": "Element `ObservationDefinition.component.qualifiedValue` is part of an existing definition because parent element `ObservationDefinition.component` requires a cross-version extension.\nElement `ObservationDefinition.component.qualifiedValue` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.component.qualifiedValue` 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": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.modifierExtension",
        "path": "ObservationDefinition.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.modifierExtension:status",
        "path": "ObservationDefinition.modifierExtension",
        "sliceName": "status",
        "short": "R5: draft | active | retired | unknown (new)",
        "definition": "R5: `ObservationDefinition.status` (new:code)",
        "comment": "Element `ObservationDefinition.status` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`.\nElement `ObservationDefinition.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ObservationDefinition.status`: `http://hl7.org/fhir/StructureDefinition/artifact-status`.\nA nominal state-transition diagram can be found in the [Definition pattern](https://hl7.org/fhir/definition.ht.html#statemachine) documentation\nUnknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/artifact-status|5.2.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.extension",
        "path": "ObservationDefinition.validCodedValueSet.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.validCodedValueSet.extension:validCodedValueSet",
        "path": "ObservationDefinition.validCodedValueSet.extension",
        "sliceName": "validCodedValueSet",
        "short": "R5: Value set of valid coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.validCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.validCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.validCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.validCodedValueSet|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.extension",
        "path": "ObservationDefinition.normalCodedValueSet.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.normalCodedValueSet.extension:normalCodedValueSet",
        "path": "ObservationDefinition.normalCodedValueSet.extension",
        "sliceName": "normalCodedValueSet",
        "short": "R5: Value set of normal coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.normalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.normalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.normalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.normalCodedValueSet|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.extension",
        "path": "ObservationDefinition.abnormalCodedValueSet.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.abnormalCodedValueSet.extension:abnormalCodedValueSet",
        "path": "ObservationDefinition.abnormalCodedValueSet.extension",
        "sliceName": "abnormalCodedValueSet",
        "short": "R5: Value set of abnormal coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.abnormalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.abnormalCodedValueSet|0.1.0"
            ]
          }
        ]
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.extension",
        "path": "ObservationDefinition.criticalCodedValueSet.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ObservationDefinition.criticalCodedValueSet.extension:criticalCodedValueSet",
        "path": "ObservationDefinition.criticalCodedValueSet.extension",
        "sliceName": "criticalCodedValueSet",
        "short": "R5: Value set of critical coded values as part of this set of qualified values additional types",
        "definition": "R5: `ObservationDefinition.qualifiedValue.criticalCodedValueSet` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ValueSet)) additional types from child elements (value)",
        "comment": "Element `ObservationDefinition.qualifiedValue.criticalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.criticalCodedValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types: canonical.\nThe mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types based on type expansion: value.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.criticalCodedValueSet|0.1.0"
            ]
          }
        ]
      }
    ]
  }
}