| Source Element | Usage | Target |
| DocumentManifest | UseExtension | http://hl7.org/fhir/4.0/StructureDefinition/extension-DocumentManifest |
| DocumentManifest.id | UseExtensionFromAncestor | - |
| DocumentManifest.meta | UseExtensionFromAncestor | - |
| DocumentManifest.implicitRules | UseExtensionFromAncestor | - |
| DocumentManifest.language | UseExtensionFromAncestor | - |
| DocumentManifest.text | UseExtensionFromAncestor | - |
| DocumentManifest.contained | UseExtensionFromAncestor | - |
| DocumentManifest.extension | UseExtensionFromAncestor | - |
| DocumentManifest.modifierExtension | UseExtensionFromAncestor | - |
| DocumentManifest.masterIdentifier | UseExtensionFromAncestor | - |
| DocumentManifest.identifier | UseExtensionFromAncestor | - |
| DocumentManifest.status | UseExtensionFromAncestor | - |
| DocumentManifest.type | UseExtensionFromAncestor | - |
| DocumentManifest.subject | UseExtensionFromAncestor | - |
| DocumentManifest.created | UseExtensionFromAncestor | - |
| DocumentManifest.author | UseExtensionFromAncestor | - |
| DocumentManifest.recipient | UseExtensionFromAncestor | - |
| DocumentManifest.source | UseExtensionFromAncestor | - |
| DocumentManifest.description | UseExtensionFromAncestor | - |
| DocumentManifest.content | UseExtensionFromAncestor | - |
| DocumentManifest.related | UseExtensionFromAncestor | - |
| DocumentManifest.related.id | UseExtensionFromAncestor | - |
| DocumentManifest.related.extension | UseExtensionFromAncestor | - |
| DocumentManifest.related.modifierExtension | UseExtensionFromAncestor | - |
| DocumentManifest.related.identifier | UseExtensionFromAncestor | - |
| DocumentManifest.related.ref | UseExtensionFromAncestor | - |