Release 4 FHIR CI-Build

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See the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Operationdefinition.profile.xml

Example StructureDefinition/OperationDefinition (XML)

Maturity Level : N/A
Responsible Owner: FHIR Infrastructure Work Group Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for operationdefinition

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
  
  
    
    
      
        
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            AABJRU5ErkJggg== 
            OperationDefinition : A formal computable definition of an operation (on the RESTful interface)
             or a named query (using the search interaction).
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #e6ffe6
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDefinition of an operation or a named query
            
            + Warning: Name should be usable as an identifier for the module by machine processing
               applications such as code generation
            Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="OperationDefinition"/> 
  <meta> 
    <lastUpdated value="2025-11-08T11:23:29.301+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>              <span title="OperationDefinition : A formal computable definition of an operation (on the RESTful

             interface) or a named query (using the search interaction).">OperationDefinition</span> 
            <a name="OperationDefinition"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #e6ffe6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Definition of an operation or a named query
            <br/>              <span style="font-style: italic" title="cnl-0">+ Warning: Name should be usable as an identifier for the module by machine processing

               applications such as code generation</span> 
            <br/>              <span style="font-style: italic" title="opd-5">+ Rule: A query operation cannot be defined at the instance level</span>             <br/>              <span style="font-style: italic" title="opd-6">+ Rule: A query operation requires input parameters to have a search type</span>             <br/>              <span style="font-style: italic" title="opd-7">+ Rule: Named queries always have a single output parameter named 'result' of type

               Bundle</span> 
            <br/>              <br/>  Elements defined in Ancestors:             <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,

             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="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., 
            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., 
            , 
            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 &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            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., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="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. For DomainResources, if more than one implicitRules policy applies, additional
             policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
            ir-extensions/StructureDefinition-additionalImplicitRules.html) extension.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="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
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. 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., 

             of the resource. To make the use of extensions safe and managable, 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.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).
          
        

        
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            OperationDefinition.url : An absolute URI that is used to identify this operation definition
             when it is referenced in a specification, model, design or an instance; also called its
             canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at
             which at which an authoritative instance of this operation definition is (or will be)
             published. This URL can be the target of a canonical reference. It SHALL remain the same
             when the operation definition is stored on different servers.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
            
          
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           solid; padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            OperationDefinition.version : The identifier that is used to identify this version of
             the operation definition when it is referenced in a specification, model, design or instance.
             This is an arbitrary value managed by the operation definition author and is not expected
             to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed
             version is not available. There is also no expectation that versions can be placed in
             a lexicographical sequence.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            TRgwAAAABJRU5ErkJggg== 

             of the resource and that modifies the understanding of the element that contains
             it 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 managable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
            <br/>              <span title="uml.html#interfaces">Interfaces Implemented: </span>             <a href="canonicalresource.html#CanonicalResource" title="Common Interface declaration for conformance and knowledge artifact resources.">CanonicalResource</a>           </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.url : An absolute URI that is used to identify this operation

             definition when it is referenced in a specification, model, design or an instance;
             also called its canonical identifier. This SHOULD be globally unique and SHOULD
             be a literal address at which an authoritative instance of this operation definition
             is (or will be) published. This URL can be the target of a canonical reference.
             It SHALL remain the same when the operation definition is stored on different servers.">url</span> 
            <a name="OperationDefinition.url"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Canonical identifier for this operation definition, represented as an absolute
             URI (globally unique)
            <br/>              <span style="font-style: italic" title="cnl-1">+ Warning: URL should not contain | or # - these characters make processing canonical

               references problematic</span> 
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="OperationDefinition.identifier : A formal identifier that is used to identify this

             implementation guide when it is represented in other formats, or referenced in
             a specification, model, design or an instance.">identifier</span> 
            <a name="OperationDefinition.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Additional identifier for the implementation guide (business identifier)
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.version : The identifier that is used to identify this version

             of the operation definition when it is referenced in a specification, model, design
             or instance. This is an arbitrary value managed by the operation definition author
             and is not expected to be globally unique. For example, it might be a timestamp
             (e.g. yyyymmdd) if a managed version is not available. There is also no expectation
             that versions can be placed in a lexicographical sequence.">version</span> 
            <a name="OperationDefinition.version"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business version of the operation definition
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="OperationDefinition.versionAlgorithm[x] : Indicates the mechanism used to compare

             versions to determine which is more current.">versionAlgorithm[x]</span> 
            <a name="OperationDefinition.versionAlgorithm_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">How to compare versions
            <br/>  Binding:             <a href="valueset-version-algorithm.html">Version Algorithm</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="A sequence of Unicode characters">versionAlgorithmString</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A reference to a code defined by a terminology system.">versionAlgorithmCoding</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="OperationDefinition.name : A natural language name identifying the operation definition.
             This name should be usable as an identifier for the module by machine processing applications
             such as code generation.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg== 

             This name should be usable as an identifier for the module by machine processing
             applications such as code generation.">name</span> 
            <a name="OperationDefinition.name"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name for this operation definition (computer friendly)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="OperationDefinition.title : A short, descriptive, user-friendly title for the operation
             definition.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6
          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
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            TRgwAAAABJRU5ErkJggg== 
            OperationDefinition.status : The status of this operation definition. Enables tracking
             the life-cycle of the content.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxdraft | active | retired | unknown
            
             (
            )
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            TRgwAAAABJRU5ErkJggg== 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxoperation | query
            
             (
            )
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6
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            OperationDefinition.experimental : A Boolean value to indicate that this operation definition
             is authored for testing purposes (or education/evaluation/marketing) and is not intended
             to be used for genuine usage.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
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             definition.">title</span> 
            <a name="OperationDefinition.title"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name for this operation definition (human friendly)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.status : The current state of this operation definition.">status</span>             <a name="OperationDefinition.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">draft | active | retired | unknown
            <br/>  Binding:             <a href="valueset-publication-status.html">PublicationStatus</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.kind : Whether this is an operation or a named query.">kind</span>             <a name="OperationDefinition.kind"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">operation | query
            <br/>  Binding:             <a href="valueset-operation-kind.html">Operation Kind</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.experimental : A Boolean value to indicate that this operation

             definition is authored for testing purposes (or education/evaluation/marketing)
             and no version of this resource will ever be intended for genuine usage.">experimental</span> 
            <a name="OperationDefinition.experimental"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">For testing only - never for real usage
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="OperationDefinition.date : The date  (and optionally time) when the operation definition
             was published. The date must change when the business version changes and it must change
             if the status code changes. In addition, it should change when the substantive content
             of the operation definition changes.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            OperationDefinition.publisher : The name of the organization or individual that published
             the operation definition.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 

             was last significantly changed. The date must change when the business version
             changes and it must change if the status code changes. In addition, it should change
             when the substantive content of the operation definition changes.">date</span> 
            <a name="OperationDefinition.date"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Date last changed
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.publisher : The name of the organization or individual responsible

             for the release and ongoing maintenance of the operation definition.">publisher</span> 
            <a name="OperationDefinition.publisher"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name of the publisher/steward (organization or individual)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="OperationDefinition.contact : Contact details to assist a user in finding and communicating
             with the publisher.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxContact details for the publisher
            
          
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            OperationDefinition.description : A free text natural language description of the operation
             definition from a consumer's perspective.
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            OperationDefinition.useContext : The content was developed with a focus and intent of
             supporting the contexts that are listed. These contexts may be general categories (gender,
             age, ...) or may be references to specific programs (insurance plans, studies, ...) and
             may be used to assist with indexing and searching for appropriate operation definition
             instances.
            
          
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           padding:0px 4px 0px 4px
            
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe context that the content is intended to support
            
          
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            OperationDefinition.jurisdiction : A legal or geographic region in which the operation
             definition is intended to be used.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxIntended jurisdiction for operation definition (if applicable)
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            OperationDefinition.purpose : Explanation of why this operation definition is needed and
             why it has been designed as it has.
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            OperationDefinition.affectsState : Whether the operation affects state. Side effects such
             as producing audit trail entries do not count as 'affecting  state'.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
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           solid; padding:0px 4px 0px 4px
        

        
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            TRgwAAAABJRU5ErkJggg== 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
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            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg== 
            OperationDefinition.comment : Additional information about how to use this operation or
             named query.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
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            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
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             with the publisher.">contact</span> 
            <a name="OperationDefinition.contact"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#ContactDetail">ContactDetail</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Contact details for the publisher
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.description : A free text natural language description of the

             operation definition from a consumer's perspective.">description</span> 
            <a name="OperationDefinition.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Natural language description of the operation definition
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="OperationDefinition.useContext : The content was developed with a focus and intent

             of supporting the contexts that are listed. These contexts may be general categories
             (gender, age, ...) or may be references to specific programs (insurance plans,
             studies, ...) and may be used to assist with indexing and searching for appropriate
             operation definition.">useContext</span> 
            <a name="OperationDefinition.useContext"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#UsageContext">UsageContext</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The context that the content is intended to support
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="OperationDefinition.jurisdiction : A legal or geographic region in which the authority

             that maintains the resource is operating.  In general, the jurisdiction is also
             found in the useContext.  The useContext may reference additional jurisdictions
             because the defining jurisdiction does not necessarily limit the jurisdictions
             of use.">jurisdiction</span> 
            <a name="OperationDefinition.jurisdiction"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Jurisdiction of the authority that maintains the operation definition (if applicable)
            <br/>  Binding:             <a href="http://terminology.hl7.org/6.5.0/ValueSet-jurisdiction.html">Jurisdiction ValueSet</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.purpose : Explanation of why this operation definition is needed

             and why it has been designed as it has.">purpose</span> 
            <a name="OperationDefinition.purpose"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Why this operation definition is defined
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.copyright : A copyright statement relating to the operation

             definition and/or its contents. Copyright statements are notices of intellectual
             property ownership and can include restrictions on the use and publishing of the
             operation definition.">copyright</span> 
            <a name="OperationDefinition.copyright"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Notice about intellectual property ownership, can include restrictions on use
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.copyrightLabel : A short string (&lt;50 characters), suitable

             for inclusion in a page footer that identifies the copyright holder, effective
             period, and optionally whether rights are restricted. (e.g. 'All rights reserved',
             'Some rights reserved').">copyrightLabel</span> 
            <a name="OperationDefinition.copyrightLabel"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Copyright holder and year(s)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.affectsState : Whether the operation affects state. Side effects

             such as producing audit trail entries do not count as 'affecting  state'.">affectsState</span> 
            <a name="OperationDefinition.affectsState"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Whether content is changed by the operation
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.synchronicity : Indicates that this operation must always be

             handled as synchronous or asynchronous, or that the server must provide both options,
             and clients can choose.">synchronicity</span> 
            <a name="OperationDefinition.synchronicity"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">synchronous | asynchronous | either
            <br/>  Binding:             <a href="valueset-synchronicity-control.html">Operation Synchronicity Control</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.code : The label that is recommended to be used in the URL

             for this operation. In some cases, servers may need to use a different CapabilityStatement
             operation.name to differentiate between multiple SearchParameters that happen to
             have the same code.">code</span> 
            <a name="OperationDefinition.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recommended name for operation in search url
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.comment : Additional information about how to use this operation

             or named query.">comment</span> 
            <a name="OperationDefinition.comment"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Additional information about use
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="OperationDefinition.base : Indicates that this operation definition is a constraining
             profile on the base.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg== 
            
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxTypes this operation applies to
            
             (
            )
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg== 
            OperationDefinition.system : Indicates whether this operation or named query can be invoked
             at the system level (e.g. without needing to choose a resource type for the context).
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            OperationDefinition.type : Indicates whether this operation or named query can be invoked
             at the resource type level for any given resource type level (e.g. without needing to
             choose a specific resource id for the context).
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            OperationDefinition.instance : Indicates whether this operation can be invoked on a particular
             instance of one of the given types.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            OperationDefinition.inputProfile : Additional validation information for the in parameters
             - a single profile that covers all the parameters. The profile is a constraint on the
             parameters resource as a whole.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
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            (
            )
          
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           solid; padding:0px 4px 0px 4px
        

        
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            OperationDefinition.outputProfile : Additional validation information for the out parameters
             - a single profile that covers all the parameters. The profile is a constraint on the
             parameters resource.
            
          
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            (
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           solid; padding:0px 4px 0px 4pxParameters for the operation/query
            
            
            
            
            
            
            
          
        

        
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             (
            )
          
        

        
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            OperationDefinition.parameter.min : The minimum number of times this parameter SHALL appear
             in the request or response.
            
          
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            OperationDefinition.parameter.max : The maximum number of times this element is permitted
             to appear in the request or response.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxWhat type this parameter has
            
            A list of all the concrete types defined in this version of the FHIR specification - Abstract
             Types, Data Types and Resource Types. (
            )
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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             profile on the base.">base</span> 
            <a name="OperationDefinition.base"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="operationdefinition.html">OperationDefinition</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Marks this as a profile of the base
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.resource : The types on which this operation can be executed.">resource</span>             <a name="OperationDefinition.resource"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Types this operation applies to
            <br/>  Binding:             <a href="valueset-version-independent-all-resource-types.html">Version Independent Resource Types (All)</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <table class="binding grid">              <tr>                 <td style="font-size: 11px">                  <b> Additional Bindings</b>                 </td>                 <td style="font-size: 11px">Purpose</td>               </tr>               <tr>                 <td style="font-size: 11px">                  <a href="valueset-all-resource-types.html">All Resource Types</a>                 </td>                 <td style="font-size: 11px">                  <a href="valueset-additional-binding-purpose.html#additional-binding-purpose-ui" title="This value set is provided to user look up in a given context">UI Binding</a>                 </td>               </tr>             </table>             <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.system : Indicates whether this operation or named query can

             be invoked at the system level (e.g. without needing to choose a resource type
             for the context).">system</span> 
            <a name="OperationDefinition.system"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Invoke at the system level?
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.type : Indicates whether this operation or named query can

             be invoked at the resource type level for any given resource type level (e.g. without
             needing to choose a specific resource id for the context).">type</span> 
            <a name="OperationDefinition.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Invoke at the type level?
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.instance : Indicates whether this operation can be invoked

             on a particular instance of one of the given types.">instance</span> 
            <a name="OperationDefinition.instance"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Invoke on an instance?
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="OperationDefinition.inputProfile : Additional validation information for the in

             parameters - a single profile that covers all the parameters. The profile is a
             constraint on the parameters resource as a whole.">inputProfile</span> 
            <a name="OperationDefinition.inputProfile"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="structuredefinition.html">StructureDefinition</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Validation information for in parameters
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="OperationDefinition.outputProfile : Additional validation information for the out

             parameters - a single profile that covers all the parameters. The profile is a
             constraint on the parameters resource.">outputProfile</span> 
            <a name="OperationDefinition.outputProfile"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="structuredefinition.html">StructureDefinition</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Validation information for out parameters
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="OperationDefinition.parameter : The parameters for the operation/query.">parameter</span>             <a name="OperationDefinition.parameter"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Parameters for the operation/query
            <br/>              <span style="font-style: italic" title="opd-1">+ Rule: Either a type must be provided, or parts</span>             <br/>              <span style="font-style: italic" title="opd-2">+ Rule: A search type can only be specified for parameters of type string</span>             <br/>              <span style="font-style: italic" title="opd-3">+ Rule: A targetProfile can only be specified for parameters of type Reference,

               Canonical, or a Resource</span> 
            <br/>              <span style="font-style: italic" title="opd-4">+ Rule: SearchParamType can only be specified on in parameters</span>             <br/>              <span style="font-style: italic" title="opd-8">+ Rule: Min &lt;= Max</span>             <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.name : The name of used to identify the parameter.">name</span>             <a name="OperationDefinition.parameter.name"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name in Parameters.parameter.name or in URL
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.use : Whether this is an input or an output parameter.">use</span>             <a name="OperationDefinition.parameter.use"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">in | out
            <br/>  Binding:             <a href="valueset-operation-parameter-use.html">Operation Parameter Use</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.scope : If present, indicates that the parameter

             applies when the operation is being invoked at the specified level.">scope</span> 
            <a name="OperationDefinition.parameter.scope"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">instance | type | system
            <br/>  Binding:             <a href="valueset-operation-parameter-scope.html">Operation Parameter Scope</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.min : The minimum number of times this parameter

             SHALL appear in the request or response.">min</span> 
            <a name="OperationDefinition.parameter.min"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Minimum Cardinality
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.max : The maximum number of times this element is

             permitted to appear in the request or response.">max</span> 
            <a name="OperationDefinition.parameter.max"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Maximum Cardinality (a number or *)
            <br/>              <span style="font-style: italic" title="opd-9">+ Rule: Max SHALL be a number or &quot;*&quot;</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.documentation : Describes the meaning or use of this

             parameter.">documentation</span> 
            <a name="OperationDefinition.parameter.documentation"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Description of meaning/use
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.type : The type for this parameter.">type</span>             <a name="OperationDefinition.parameter.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">What type this parameter has
            <br/>  Binding:             <a href="valueset-fhir-types.html">All FHIR Types</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.allowedType : Support for polymorphic types. If the

             parameter type is abstract, this element lists allowed sub-types for the parameter.">allowedType</span> 
            <a name="OperationDefinition.parameter.allowedType"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Allowed sub-type this parameter can have (if type is abstract)
            <br/>  Binding:             <a href="valueset-fhir-types.html">All FHIR Types</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="OperationDefinition.parameter.targetProfile : Used when the type is &quot;Reference&quot;
             or &quot;canonical&quot;, and identifies a profile structure or implementation Guide that
             applies to the target of the reference this parameter refers to. If any profiles are specified,
             then the content must conform to at least one of them. The URL can be a local reference
             - to a contained StructureDefinition, or a reference to another StructureDefinition or
             Implementation Guide by a canonical URL. When an implementation guide is specified, the
             target resource SHALL conform to at least one profile defined in the implementation guide.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxIf type is Reference | canonical, allowed targets
            
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD
          +5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwA
            v+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC
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            OperationDefinition.parameter.searchType : How the parameter is understood as a search
             parameter. This is only used if the parameter type is 'string'.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxnumber | date | string | token | reference | composite | quantity | uri | special
            
             (
            )
          
        

        
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            OperationDefinition.parameter.binding : Binds to a value set if this parameter is coded
             (code, Coding, CodeableConcept).
            
          
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           padding:0px 4px 0px 4px
        

        
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            OperationDefinition.parameter.binding.strength : Indicates the degree of conformance expectations
             associated with this binding - that is, the degree to which the provided value set must
             be adhered to in the instances.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxrequired | extensible | preferred | example
            
             (
            )
          
        

        
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            OperationDefinition.parameter.binding.valueSet : Points to the value set or external definition
             (e.g. implicit value set) that identifies the set of codes to be used.
            
          
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            (
            )
          
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           padding:0px 4px 0px 4px
        

        
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            OperationDefinition.parameter.referencedFrom : Identifies other resource parameters within
             the operation invocation that are expected to resolve to this resource.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxReferences to this parameter
            
          
        

        
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            OperationDefinition.parameter.referencedFrom.source : The name of the parameter or dot-separated
             path of parameter names pointing to the resource parameter that is expected to contain
             a reference to this resource.
            
          
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            OperationDefinition.parameter.referencedFrom.sourceId : The id of the element in the referencing
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           solid; padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxsee 
            
          
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           padding:0px 4px 0px 4pxParts of a nested Parameter
            
          
        

        
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            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw== 
            OperationDefinition.overload : Defines an appropriate combination of parameters to use
             when invoking this operation, to help code generators when generating overloaded parameter
             sets for this operation.
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxDefine overloaded variants for when  generating code
            
          
        

        
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxName of parameter to include in overload
            
          
        

        
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
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           solid; padding:0px 4px 0px 4px
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  A formal computable definition of an operation (on the RESTful interface) or a named query
   (using the search interaction).
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
    
      
    
  
  
  
    
      
      
      A formal computable definition of an operation (on the RESTful interface) or a named query
       (using the search interaction).
      
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        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
        contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()
        not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        
        
        
        
      
      
        
          
        
        
          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.
        
        
        
        
        
        
        
      
      
        
        

             or &quot;canonical&quot;, and identifies a profile structure or implementation
             Guide that applies to the target of the reference this parameter refers to. If
             any profiles are specified, then the content must conform to at least one of them.
             The URL can be a local reference - to a contained StructureDefinition, or a reference
             to another StructureDefinition or Implementation Guide by a canonical URL. When
             an implementation guide is specified, the target resource SHALL conform to at least
             one profile defined in the implementation guide.">targetProfile</span> 
            <a name="OperationDefinition.parameter.targetProfile"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="structuredefinition.html">StructureDefinition</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">If type is Reference | canonical, allowed targets. If type is 'Resource', then
             this constrains the allowed resource types
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.searchType : How the parameter is understood if/when

             it used as search parameter. This is only used if the parameter is a string.">searchType</span> 
            <a name="OperationDefinition.parameter.searchType"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">number | date | string | token | reference | composite | quantity | uri | special
             | resource
            <br/>  Binding:             <a href="valueset-search-param-type.html">SearchParamType</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="OperationDefinition.parameter.binding : Binds to a value set if this parameter

             is coded (code, Coding, CodeableConcept).">binding</span> 
            <a name="OperationDefinition.parameter.binding"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">ValueSet details if this is coded
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.binding.strength : Indicates the degree of conformance

             expectations associated with this binding - that is, the degree to which the provided
             value set must be adhered to in the instances.">strength</span> 
            <a name="OperationDefinition.parameter.binding.strength"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">required | extensible | preferred | example | descriptive
            <br/>  Binding:             <a href="valueset-binding-strength.html">BindingStrength</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="OperationDefinition.parameter.binding.valueSet : Points to the value set or external

             definition (e.g. implicit value set) that identifies the set of codes to be used.">valueSet</span> 
            <a name="OperationDefinition.parameter.binding.valueSet"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="valueset.html">ValueSet</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Source of value set
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="OperationDefinition.parameter.referencedFrom : Identifies other resource parameters

             within the operation invocation that are expected to resolve to this resource.">referencedFrom</span> 
            <a name="OperationDefinition.parameter.referencedFrom"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">References to this parameter
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.referencedFrom.source : The name of the parameter

             or dot-separated path of parameter names pointing to the resource parameter that
             is expected to contain a reference to this resource.">source</span> 
            <a name="OperationDefinition.parameter.referencedFrom.source"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Referencing parameter
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.parameter.referencedFrom.sourceId : The id of the element in

             the referencing resource that is expected to resolve to this resource.">sourceId</span> 
            <a name="OperationDefinition.parameter.referencedFrom.sourceId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Element id of reference
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Element"/>              <span title="OperationDefinition.parameter.part : The parts of a nested Parameter.">part</span>             <a name="OperationDefinition.parameter.part"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">see 
            <a href="#OperationDefinition.parameter" title="OperationDefinition.parameter">parameter</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Parts of a nested Parameter
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="OperationDefinition.overload : Defines an appropriate combination of parameters

             to use when invoking this operation, to help code generators when generating overloaded
             parameter sets for this operation.">overload</span> 
            <a name="OperationDefinition.overload"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Define overloaded variants for when  generating code
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.overload.parameterName : Name of parameter to include in overload.">parameterName</span>             <a name="OperationDefinition.overload.parameterName"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name of parameter to include in overload
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="OperationDefinition.overload.comment : Comments to go on overload.">comment</span>             <a name="OperationDefinition.overload.comment"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Comments to go on overload
            <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">    <valueCanonical value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="normative"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">    <valueCode value="4.0.0"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="fhir"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="5"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">    <valueCode value="anonymous"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>   <version value="6.0.0-ballot3"/>   <name value="OperationDefinition"/>   <status value="active"/>   <experimental value="false"/>   <date value="2025-11-08T11:23:29+00:00"/>   <publisher value="HL7 International / FHIR Infrastructure"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <description value="A formal computable definition of an operation (on the RESTful interface) or a

   named query (using the search interaction)."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <fhirVersion value="6.0.0-ballot3"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <mapping>     <identity value="objimpl"/>     <uri value="http://hl7.org/fhir/object-implementation"/>     <name value="Object Implementation Information"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="OperationDefinition"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="OperationDefinition">      <path value="OperationDefinition"/>       <short value="Definition of an operation or a named query"/>       <definition value="A formal computable definition of an operation (on the RESTful interface) or a

       named query (using the search interaction)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="cnl-0"/>         <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
    
    
      
      

         such as code generation"/> 
        <expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-5"/>         <severity value="error"/>         <human value="A query operation cannot be defined at the instance level"/>         <expression value="(kind = 'query') implies (instance = false)"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-6"/>         <severity value="error"/>         <human value="A query operation requires input parameters to have a search type"/>         <expression value="(kind = 'query') implies (parameter.all((use = 'in' and searchType.exists()) or

         (use != 'in')))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-7"/>         <severity value="error"/>         <human value="Named queries always have a single output parameter named 'result' of type Bundle"/>         <expression value="(kind = 'query') implies ((parameter.where(use = 'out').count() = 1) and (parameter.where(use

         = 'out').all(name = 'result' and type = 'Bundle')))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="conformance.behavior"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Definition"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.id">      <path value="OperationDefinition.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,

       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.meta">      <path value="OperationDefinition.meta"/>       <short value="Metadata about the resource"/> 
      <definition value="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.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      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.
      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.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      

       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.implicitRules">      <path value="OperationDefinition.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="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. For DomainResources, if more than one implicitRules policy applies, additional
       policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
      ir-extensions/StructureDefinition-additionalImplicitRules.html) extension."/> 
      <comment value="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 its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/> 
      <isModifierReason value="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
      
    
    
      
      
      
      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).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.
      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.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
      
        
        
      
    
    
      
      

       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="OperationDefinition.language">      <path value="OperationDefinition.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="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 value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="OperationDefinition.text">      <path value="OperationDefinition.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="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
       &quot;clinically safe&quot; 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 value="Contained resources do not have a 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 &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="OperationDefinition.contained">      <path value="OperationDefinition.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that

       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="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. Contained resources may be a resource type
       defined in the FHIR specification, or an [additional resource](resource.html#additional)."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.extension">      <path value="OperationDefinition.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the resource. To make the use of extensions safe and managable, 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 value="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 value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.modifierExtension">      <path value="OperationDefinition.modifierExtension"/>       <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      
      
        
        
      
    
    
      
      

       of the resource and that modifies the understanding of the element that contains
       it 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 managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.url">      <path value="OperationDefinition.url"/>       <short value="Canonical identifier for this operation definition, represented as an absolute

       URI (globally unique)"/> 

      <definition value="An absolute URI that is used to identify this operation definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this operation definition is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the operation definition is stored
       on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the operation definition when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the operation definition author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
      There may be different operation definition instances that have the same identifier but
       different versions.  The version can be appended to the url in a reference to allow a
       reference to a particular business version of the operation definition with the format
       [url]|[version].
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the operation definition. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.

       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this operation definition is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the operation
       definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the operation definition to be referenced by a single globally unique identifier."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.url"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="cnl-1"/>         <severity value="warning"/>         <human value="URL should not contain | or # - these characters make processing canonical references

         problematic"/> 
        <expression value="exists() implies matches('^[^|# ]+$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.url"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="OperationDefinition.identifier">      <path value="OperationDefinition.identifier"/>       <short value="Additional identifier for the implementation guide (business identifier)"/>       <definition value="A formal identifier that is used to identify this implementation guide when it

       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated

       with the module."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="OperationDefinition.version">      <path value="OperationDefinition.version"/>       <short value="Business version of the operation definition"/>       <definition value="The identifier that is used to identify this version of the operation definition

       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the operation definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence."/> 
      <comment value="There may be different operation definitions that have the same url but different

       versions.  The version can be appended to the url in a reference to allow a reference
       to a particular business version of the operation definition with the format. The
       version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.version"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.version"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>     </element>     <element id="OperationDefinition.versionAlgorithm[x]">      <path value="OperationDefinition.versionAlgorithm[x]"/>       <short value="How to compare versions"/>       <definition value="Indicates the mechanism used to compare versions to determine which is more current."/>       <comment value="If 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 value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.versionAlgorithm[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <type>         <code value="Coding"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.versionAlgorithm"/>       </mapping>     </element>     <element id="OperationDefinition.name">      <path value="OperationDefinition.name"/>       <short value="Name for this operation definition (computer friendly)"/>       <definition value="A natural language name identifying the operation definition. This name should

       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 

      <comment value="The 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.
      
      
      
      
        
        
        
      
      
        
      
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      

       type no-whitespace name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support code generation."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.name"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <condition value="cnl-0"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.name"/>       </mapping>     </element>     <element id="OperationDefinition.title">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.title"/>       <short value="Name for this operation definition (human friendly)"/>       <definition value="A short, descriptive, user-friendly title for the operation definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this operation definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level operation definition.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the operation definition was published. The date
       must change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the operation definition
       changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the operation definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the operation
       definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the operation definition. This is not necessarily the same individual or
       organization that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the operation definition. This item SHOULD
       be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the operation definition.  May
       also allow for contact.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       white-space, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.title"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.title"/>       </mapping>     </element>     <element id="OperationDefinition.status">      <path value="OperationDefinition.status"/>       <short value="draft | active | retired | unknown"/>       <definition value="The current state of this operation definition."/>       <comment value="A nominal state-transition diagram can be found in the] documentation
Unknown 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."/> 
      <requirements value="Enables tracking the lifecycle of the content and filtering of operation definitions

       that are appropriate for use versus not.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use

       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PublicationStatus"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="The lifecycle status of an artifact."/>         <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.status {different ValueSet}"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="OperationDefinition.kind">      <path value="OperationDefinition.kind"/>       <short value="operation | query"/>       <definition value="Whether this is an operation or a named query."/>       <comment value="Named queries are invoked differently, and have different capabilities."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.kind"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <condition value="opd-5"/>       <condition value="opd-6"/>       <condition value="opd-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationKind"/>         </extension>         <strength value="required"/>         <description value="Whether an operation is a normal operation or a query."/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="OperationDefinition.experimental">      <path value="OperationDefinition.experimental"/>       <short value="For testing only - never for real usage"/>       <definition value="A Boolean value to indicate that this operation definition is authored for testing

       purposes (or education/evaluation/marketing) and no version of this resource will
       ever be intended for genuine usage."/> 
      <comment value="Allows filtering of operation definitions that are appropriate for use versus not..

       Experimental resources might include example instances in implementation guides,
       instances created solely for testing purposes, etc"/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level operation definition."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.experimental"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.experimental"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="OperationDefinition.date">      <path value="OperationDefinition.date"/>       <short value="Date last changed"/>       <definition value="The date  (and optionally time) when the operation definition was last significantly

       changed. The date must change when the business version changes and it must change
       if the status code changes. In addition, it should change when the substantive
       content of the operation definition changes."/> 
      <comment value="The 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 operation definition.
       Additional specific dates may be added as extensions or be found by consulting
       Provenances associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <alias value="Revision Date"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.date"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.date"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="OperationDefinition.publisher">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.publisher"/>       <short value="Name of the publisher/steward (organization or individual)"/>       <definition value="The name of the organization or individual responsible for the release and ongoing

       maintenance of the operation definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the operation definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the operation definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       operation definition. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the operation definition.

        May also allow for contact."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.publisher"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.publisher"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.witness"/>       </mapping>     </element>     <element id="OperationDefinition.contact">      <path value="OperationDefinition.contact"/>       <short value="Contact details for the publisher"/>       <definition value="Contact details to assist a user in finding and communicating with the publisher."/>       <comment value="May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.contact"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.contact"/>       </mapping>     </element>     <element id="OperationDefinition.description">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.description"/>       <short value="Natural language description of the operation definition"/> 
      <definition value="A free text natural language description of the operation definition from a consumer's
       perspective.
      This description can be used to capture details such as why the operation definition was
       built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the operation
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the operation
       definition is presumed to be the predominant language in the place the operation definition
       was created).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
        
      
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate operation definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      It may be possible for the operation definition to be used in jurisdictions other than
       those for which it was originally designed or intended.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Explanation of why this operation definition is needed and why it has been designed as
       it has.
      This element does not describe the usage of the operation definition. Instead, it provides
       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 operation definition.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Whether the operation affects state. Side effects such as producing audit trail entries
       do not count as 'affecting  state'.
      What http methods can be used for the operation depends on the .affectsState value and
       whether the input parameters are primitive or complex:

1. Servers SHALL support POST method for all operations.

2. Servers SHALL support GET method if all the parameters for the operation are primitive
       or there are no parameters and the operation has affectsState = false.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      

       perspective."/> 
      <comment value="This 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 operation definition as
       conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the operation
       definition is presumed to be the predominant language in the place the operation
       definition was created)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.description"/>       </mapping>     </element>     <element id="OperationDefinition.useContext">      <path value="OperationDefinition.useContext"/>       <short value="The context that the content is intended to support"/>       <definition value="The content was developed with a focus and intent of supporting the contexts that

       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate operation definition."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or even

       any of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.useContext"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="UsageContext"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.useContext"/>       </mapping>     </element>     <element id="OperationDefinition.jurisdiction">      <path value="OperationDefinition.jurisdiction"/>       <short value="Jurisdiction of the authority that maintains the operation definition (if applicable)"/>       <definition value="A legal or geographic region in which the authority that maintains the resource

       is operating.  In general, the jurisdiction is also found in the useContext.  The
       useContext may reference additional jurisdictions because the defining jurisdiction
       does not necessarily limit the jurisdictions of use."/> 
      <comment value="It may be possible for the operation definition to be used in jurisdictions other

       than those for which it was originally designed or intended.
DEPRECATION 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 value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.jurisdiction"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Jurisdiction"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="Countries and regions within which this artifact is targeted for use."/>         <valueSet value="http://terminology.hl7.org/ValueSet/jurisdiction"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.jurisdiction"/>       </mapping>     </element>     <element id="OperationDefinition.purpose">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.purpose"/>       <short value="Why this operation definition is defined"/>       <definition value="Explanation of why this operation definition is needed and why it has been designed

       as it has."/> 
      <comment value="This element does not describe the usage of the operation definition. Instead,

       it provides 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 operation definition."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.purpose"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.purpose"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="OperationDefinition.copyright">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.copyright"/>       <short value="Notice about intellectual property ownership, can include restrictions on use"/>       <definition value="A copyright statement relating to the operation definition and/or its contents.

       Copyright statements are notices of intellectual property ownership and can include
       restrictions on the use and publishing of the operation definition."/> 
      <requirements value="Consumers of the operation definition must be able to determine any legal restrictions

       on the use of the artifact and/or its content."/> 
      <alias value="License"/>       <alias value="Restrictions"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.copyright"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyright"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="OperationDefinition.copyrightLabel">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.copyrightLabel"/>       <short value="Copyright holder and year(s)"/>       <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that

       identifies the copyright holder, effective period, and optionally whether rights
       are restricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The copyright symbol and the '(c)' textual representation 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."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.copyrightLabel"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyrightLabel"/>       </mapping>     </element>     <element id="OperationDefinition.affectsState">      <path value="OperationDefinition.affectsState"/>       <short value="Whether content is changed by the operation"/>       <definition value="Whether the operation affects state. Side effects such as producing audit trail

       entries do not count as 'affecting  state'."/> 
      <comment value="What http methods can be used for the operation depends on the .affectsState value

       and whether the input parameters are primitive or complex:
1. Servers SHALL support POST method for all operations.
2. Servers SHALL support the GET method when the operation has affectsState = false
       and all required parameters for the operation are primitive."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.affectsState"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.synchronicity">      <path value="OperationDefinition.synchronicity"/>       <short value="synchronous | asynchronous | either"/>       <definition value="Indicates that this operation must always be handled as synchronous or asynchronous,

       or that the server must provide both options, and clients can choose."/> 
      <comment value="An operation derived from another must be consistent with regard to synchronicity

       - it cannot change from synchronous to asynchronous or vice versa, but it may choose
       one if synchronicity is either or not specified"/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.synchronicity"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="It is up to server discretion whether to accept a particular invocation of the

       operation as synchronous or asynchronous."/> 
      <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/synchronicity-control|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.code">      <extension url="http://hl7.org/fhir/tools/StructureDefinition/no-binding">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.code"/>       <short value="Recommended name for operation in search url"/>       <definition value="The label that is recommended to be used in the URL for this operation. In some

       cases, servers may need to use a different CapabilityStatement operation.name to
       differentiate between multiple SearchParameters that happen to have the same code."/> 
      <comment value="For maximum compatibility, use only lowercase ASCII characters. Note that HL7 will

       never define multiple operations with the same code. See [Naming Rules &amp; Guidelines](http
      s://confluence.hl7.org/display/FHIR/Guide+to+Designing+Resources#GuidetoDesigningResources-Nam
      ingRules&amp;Guidelines) for the internal HL7 rules around codes, which are useful
       additional advice for all implementers"/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.code"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.code"/>       </mapping>     </element>     <element id="OperationDefinition.comment">      <path value="OperationDefinition.comment"/>       <short value="Additional information about use"/>       <definition value="Additional information about how to use this operation or named query."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.comment"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.base">      <path value="OperationDefinition.base"/>       <short value="Marks this as a profile of the base"/>       <definition value="Indicates that this operation definition is a constraining profile on the base."/>       <comment value="A constrained profile can make optional parameters required or not used, introduce

       new parameters (required or optional), and clarify documentation."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.base"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.derivedFromCanonical"/>       </mapping>     </element>     <element id="OperationDefinition.resource">      <path value="OperationDefinition.resource"/>       <short value="Types this operation applies to"/>       <definition value="The types on which this operation can be executed."/> 
      <comment value="If the type is an abstract resource (&quot;Resource&quot; or &quot;DomainResource&quot;)
       then the operation can be invoked on any concrete specialization.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Indicates whether this operation or named query can be invoked at the system level (e.g.
       without needing to choose a resource type for the context).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Indicates whether this operation or named query can be invoked at the resource type level
       for any given resource type level (e.g. without needing to choose a specific resource
       id for the context).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Indicates whether this operation can be invoked on a particular instance of one of the
       given types.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Additional validation information for the in parameters - a single profile that covers
       all the parameters. The profile is a constraint on the parameters resource as a whole.
      If present the profile shall not conflict with what is specified in the parameters in
       the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked by a POST
       wih parameters or not.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Additional validation information for the out parameters - a single profile that covers
       all the parameters. The profile is a constraint on the parameters resource.
      If present the profile shall not conflict with what is specified in the parameters in
       the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked by a POST
       wih parameters or not.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Query Definitions only have one output parameter, named &quot;result&quot;. This might
       not be described, but can be to allow a profile to be defined.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       then the operation can be invoked on any concrete specialization."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.resource"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRTypes"/>         </extension>         <strength value="required"/>         <description value="A type of resource, or a Reference (from all versions)"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot3"/>         <additional>           <purpose value="ui"/>           <valueSet value="http://hl7.org/fhir/ValueSet/all-resource-types"/>         </additional>       </binding>     </element>     <element id="OperationDefinition.system">      <path value="OperationDefinition.system"/>       <short value="Invoke at the system level?"/>       <definition value="Indicates whether this operation or named query can be invoked at the system level

       (e.g. without needing to choose a resource type for the context)."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.system"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.type">      <path value="OperationDefinition.type"/>       <short value="Invoke at the type level?"/>       <definition value="Indicates whether this operation or named query can be invoked at the resource

       type level for any given resource type level (e.g. without needing to choose a
       specific resource id for the context)."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.type"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.instance">      <path value="OperationDefinition.instance"/>       <short value="Invoke on an instance?"/>       <definition value="Indicates whether this operation can be invoked on a particular instance of one

       of the given types."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.instance"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <condition value="opd-5"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.inputProfile">      <path value="OperationDefinition.inputProfile"/>       <short value="Validation information for in parameters"/>       <definition value="Additional validation information for the in parameters - a single profile that

       covers all the parameters. The profile is a constraint on the parameters resource
       as a whole."/> 
      <comment value="If present the profile shall not conflict with what is specified in the parameters

       in the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked
       by a POST wih parameters or not."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.inputProfile"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.outputProfile">      <path value="OperationDefinition.outputProfile"/>       <short value="Validation information for out parameters"/>       <definition value="Additional validation information for the out parameters - a single profile that

       covers all the parameters. The profile is a constraint on the parameters resource."/> 
      <comment value="If present the profile shall not conflict with what is specified in the parameters

       in the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked
       by a POST wih parameters or not."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.outputProfile"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter">      <path value="OperationDefinition.parameter"/>       <short value="Parameters for the operation/query"/>       <definition value="The parameters for the operation/query."/>       <comment value="Query Definitions only have one output parameter, named &quot;result&quot;. This

       might not be described, but can be to allow a profile to be defined."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="opd-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="opd-1"/>         <severity value="error"/>         <human value="Either a type must be provided, or parts"/>         <expression value="type.exists() or part.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-2"/>         <severity value="error"/>         <human value="A search type can only be specified for parameters of type string"/>         <expression value="searchType.exists() implies type = 'string'"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-3"/>         <severity value="error"/>         <human value="A targetProfile can only be specified for parameters of type Reference, Canonical,

         or a Resource"/> 
        <expression value="targetProfile.exists() implies (type = 'Reference' or type = 'canonical' or type.memberOf('ht

        tp://hl7.org/fhir/ValueSet/all-resource-types'))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-4"/>         <severity value="error"/>         <human value="SearchParamType can only be specified on in parameters"/>         <expression value="(use = 'out') implies searchType.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-8"/>         <severity value="error"/>         <human value="Min &lt;= Max"/>         <expression value="(max = '*') or iif(max != '*', min &lt;= max.toInteger())"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.id">      <path value="OperationDefinition.parameter.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.extension">      <path value="OperationDefinition.parameter.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, 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 value="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 value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.modifierExtension">      <path value="OperationDefinition.parameter.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      This name must be a token (start with a letter in a..z, and only contain letters, numerals,
       and underscore. Note that for search parameters (type = string, with a search type), the
       name may be altered by the search modifiers.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      If a parameter name is used for both an input and an output parameter, the parameter should
       be defined twice.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      if there is no stated parameter, then the parameter is a multi-part parameter; type and
       must have at least one part defined.
      
      
      
        
        
        
      
      
        
      
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        A list of all the concrete types defined in this version of the FHIR specification - Abstract
         Types, Data Types and Resource Types.
        
      
    
    
      
      
      Used when the type is &quot;Reference&quot; or &quot;canonical&quot;, and identifies a
       profile structure or implementation Guide that applies to the target of the reference
       this parameter refers to. If any profiles are specified, then the content must conform
       to at least one of them. The URL can be a local reference - to a contained StructureDefinition,
       or a reference to another StructureDefinition or Implementation Guide by a canonical URL.
       When an implementation guide is specified, the target resource SHALL conform to at least
       one profile defined in the implementation guide.
      Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefi
      nition/Patient).
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      How the parameter is understood as a search parameter. This is only used if the parameter
       type is 'string'.
      
      
      
        
        
        
      
      
        
      
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       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 managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.name">      <extension url="http://hl7.org/fhir/tools/StructureDefinition/no-binding">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.parameter.name"/>       <short value="Name in Parameters.parameter.name or in URL"/>       <definition value="The name of used to identify the parameter."/>       <comment value="This name must be a token (start with a letter in a..z or underscore and only contain

       letters, numerals, and underscore). Note that for search parameters (type = string,
       with a search type), the name may be altered by the search modifiers."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.name"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <condition value="opd-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.use">      <path value="OperationDefinition.parameter.use"/>       <short value="in | out"/>       <definition value="Whether this is an input or an output parameter."/>       <comment value="If a parameter name is used for both an input and an output parameter, the parameter

       should be defined twice."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.use"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <condition value="opd-6"/>       <condition value="opd-7"/>       <condition value="opd-4"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationParameterUse"/>         </extension>         <strength value="required"/>         <description value="Whether an operation parameter is an input or an output parameter."/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.scope">      <path value="OperationDefinition.parameter.scope"/>       <short value="instance | type | system"/>       <definition value="If present, indicates that the parameter applies when the operation is being invoked

       at the specified level."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter.scope"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="If no scope is indicated, it is assumed that the parameter is relevant whenever

       the operation is invoked."/> 
      <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationParameterScope"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-scope|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.min">      <path value="OperationDefinition.parameter.min"/>       <short value="Minimum Cardinality"/>       <definition value="The minimum number of times this parameter SHALL appear in the request or response."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.min"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.max">      <path value="OperationDefinition.parameter.max"/>       <short value="Maximum Cardinality (a number or *)"/>       <definition value="The maximum number of times this element is permitted to appear in the request

       or response."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.max"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="opd-9"/>         <severity value="error"/>         <human value="Max SHALL be a number or &quot;*&quot;"/>         <expression value="empty() or ($this = '*') or (toInteger() &gt;= 0)"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.documentation">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.parameter.documentation"/>       <short value="Description of meaning/use"/>       <definition value="Describes the meaning or use of this parameter."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.documentation"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.type">      <path value="OperationDefinition.parameter.type"/>       <short value="What type this parameter has"/>       <definition value="The type for this parameter."/>       <comment value="if there is no stated parameter, then the parameter is a multi-part parameter type

       and must have at least one part defined."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.type"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <condition value="opd-7"/>       <condition value="opd-1"/>       <condition value="opd-2"/>       <condition value="opd-3"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRAllTypes"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="A list of all the types defined in this version of the FHIR specification - Abstract

         Types, Data Types and Resource Types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.allowedType">      <path value="OperationDefinition.parameter.allowedType"/>       <short value="Allowed sub-type this parameter can have (if type is abstract)"/>       <definition value="Support for polymorphic types. If the parameter type is abstract, this element

       lists allowed sub-types for the parameter."/> 
      <comment value="In previous versions of FHIR, there was an extension for this: http://hl7.org/fhir/StructureD

      efinition/operationdefinition-allowed-type"/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter.allowedType"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRAllTypes"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="A list of all the types defined in this version of the FHIR specification - Abstract

         Types, Data Types and Resource Types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.targetProfile">      <path value="OperationDefinition.parameter.targetProfile"/>       <short value="If type is Reference | canonical, allowed targets. If type is 'Resource', then

       this constrains the allowed resource types"/> 
      <definition value="Used when the type is &quot;Reference&quot; or &quot;canonical&quot;, and identifies

       a profile structure or implementation Guide that applies to the target of the reference
       this parameter refers to. If any profiles are specified, then the content must
       conform to at least one of them. The URL can be a local reference - to a contained
       StructureDefinition, or a reference to another StructureDefinition or Implementation
       Guide by a canonical URL. When an implementation guide is specified, the target
       resource SHALL conform to at least one profile defined in the implementation guide."/> 
      <comment value="Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/Struct

      ureDefinition/Patient)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter.targetProfile"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <condition value="opd-3"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.searchType">      <path value="OperationDefinition.parameter.searchType"/>       <short value="number | date | string | token | reference | composite | quantity | uri | special

       | resource"/> 
      <definition value="How the parameter is understood if/when it used as search parameter. This is only

       used if the parameter is a string."/> 
      <comment value="Parameters that are search parameter usually - but not always - are also defined

       for use with general searches, and function in the operation to filter the set
       of resources in scope for the operation just like the do when searching. The searchType
       describes how the server processes the value. For an example, see the [Evaluate
       Measure Operation](measure-operation-evaluate-measure.html)"/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.searchType"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <condition value="opd-6"/>       <condition value="opd-2"/>       <condition value="opd-4"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SearchParamType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="Data types allowed to be used for search parameters."/>         <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.binding">      <path value="OperationDefinition.parameter.binding"/>       <short value="ValueSet details if this is coded"/>       <definition value="Binds to a value set if this parameter is coded (code, Coding, CodeableConcept)."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.binding"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.binding.id">      <path value="OperationDefinition.parameter.binding.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.binding.extension">      <path value="OperationDefinition.parameter.binding.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, 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 value="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 value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.binding.modifierExtension">      <path value="OperationDefinition.parameter.binding.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      Indicates the degree of conformance expectations associated with this binding - that is,
       the degree to which the provided value set must be adhered to in the instances.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      

       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 managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.binding.strength">      <path value="OperationDefinition.parameter.binding.strength"/>       <short value="required | extensible | preferred | example | descriptive"/>       <definition value="Indicates the degree of conformance expectations associated with this binding -

       that is, the degree to which the provided value set must be adhered to in the instances."/> 
      <comment value="For further discussion, see [Using Terminologies](terminologies.html)."/>       <alias value="conformance"/>       <alias value="extensibility"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.binding.strength"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BindingStrength"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="Indication of the degree of conformance expectations associated with a binding."/>         <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.binding.valueSet">      <path value="OperationDefinition.parameter.binding.valueSet"/>       <short value="Source of value set"/> 
      <definition value="Points to the value set or external definition (e.g. implicit value set) that identifies
       the set of codes to be used.
      For value sets with a referenceResource, the display can contain the value set description.
        The reference may be version-specific or not.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      

       the set of codes to be used."/> 
      <comment value="For value sets with a referenceResource, the display can contain the value set

       description.  The reference may be version-specific or not."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.binding.valueSet"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom">      <path value="OperationDefinition.parameter.referencedFrom"/>       <short value="References to this parameter"/> 
      <definition value="Identifies other resource parameters within the operation invocation that are expected
       to resolve to this resource.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       to resolve to this resource."/> 
      <comment value="Resolution applies if the referenced parameter exists."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter.referencedFrom"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom.id">      <path value="OperationDefinition.parameter.referencedFrom.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.referencedFrom.extension">      <path value="OperationDefinition.parameter.referencedFrom.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, 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 value="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 value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.referencedFrom.modifierExtension">      <path value="OperationDefinition.parameter.referencedFrom.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      The name of the parameter or dot-separated path of parameter names pointing to the resource
       parameter that is expected to contain a reference to this resource.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      The id of the element in the referencing resource that is expected to resolve to this
       resource.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Query Definitions only have one output parameter, named &quot;result&quot;. This might
       not be described, but can be to allow a profile to be defined.
      
      
      
        
        
        
      
      
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       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 managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.parameter.referencedFrom.source">      <path value="OperationDefinition.parameter.referencedFrom.source"/>       <short value="Referencing parameter"/>       <definition value="The name of the parameter or dot-separated path of parameter names pointing to

       the resource parameter that is expected to contain a reference to this resource."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.referencedFrom.source"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom.sourceId">      <path value="OperationDefinition.parameter.referencedFrom.sourceId"/>       <short value="Element id of reference"/>       <definition value="The id of the element in the referencing resource that is expected to resolve to

       this resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.parameter.referencedFrom.sourceId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.part">      <path value="OperationDefinition.parameter.part"/>       <short value="Parts of a nested Parameter"/>       <definition value="The parts of a nested Parameter."/>       <comment value="Query Definitions only have one output parameter, named &quot;result&quot;. This

       might not be described, but can be to allow a profile to be defined."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.parameter.part"/>         <min value="0"/>         <max value="*"/>       </base>       <contentReference value="#OperationDefinition.parameter"/>       <condition value="opd-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload">      <path value="OperationDefinition.overload"/>       <short value="Define overloaded variants for when  generating code"/> 
      <definition value="Defines an appropriate combination of parameters to use when invoking this operation,
       to help code generators when generating overloaded parameter sets for this operation.
      The combinations are suggestions as to which sets of parameters to use together, but the
       combinations are not intended to be authoritative.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       to help code generators when generating overloaded parameter sets for this operation."/> 
      <comment value="The combinations are suggestions as to which sets of parameters to use together,

       but the combinations are not intended to be authoritative."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.overload"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload.id">      <path value="OperationDefinition.overload.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.overload.extension">      <path value="OperationDefinition.overload.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, 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 value="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 value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.overload.modifierExtension">      <path value="OperationDefinition.overload.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
  
  
    
      
      
      A formal computable definition of an operation (on the RESTful interface) or a named query
       (using the search interaction).
      
      
      
        
        

       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 managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="OperationDefinition.overload.parameterName">      <path value="OperationDefinition.overload.parameterName"/>       <short value="Name of parameter to include in overload"/>       <definition value="Name of parameter to include in overload."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="OperationDefinition.overload.parameterName"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload.comment">      <path value="OperationDefinition.overload.comment"/>       <short value="Comments to go on overload"/>       <definition value="Comments to go on overload."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="OperationDefinition.overload.comment"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </snapshot>   <differential>     <element id="OperationDefinition">      <path value="OperationDefinition"/>       <short value="Definition of an operation or a named query"/>       <definition value="A formal computable definition of an operation (on the RESTful interface) or a

       named query (using the search interaction)."/> 
      <min value="0"/>       <max value="*"/>       <constraint>         <key value="cnl-0"/>         <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      

         such as code generation"/> 
        <expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-5"/>         <severity value="error"/>         <human value="A query operation cannot be defined at the instance level"/>         <expression value="(kind = 'query') implies (instance = false)"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-6"/>         <severity value="error"/>         <human value="A query operation requires input parameters to have a search type"/>         <expression value="(kind = 'query') implies (parameter.all((use = 'in' and searchType.exists()) or

         (use != 'in')))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-7"/>         <severity value="error"/>         <human value="Named queries always have a single output parameter named 'result' of type Bundle"/>         <expression value="(kind = 'query') implies ((parameter.where(use = 'out').count() = 1) and (parameter.where(use

         = 'out').all(name = 'result' and type = 'Bundle')))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="conformance.behavior"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="OperationDefinition.url">      <path value="OperationDefinition.url"/>       <short value="Canonical identifier for this operation definition, represented as an absolute

       URI (globally unique)"/> 

      <definition value="An absolute URI that is used to identify this operation definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this operation definition is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the operation definition is stored
       on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the operation definition when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the operation definition author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
      There may be different operation definition instances that have the same identifier but
       different versions.  The version can be appended to the url in a reference to allow a
       reference to a particular business version of the operation definition with the format
       [url]|[version].
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the operation definition. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.

       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this operation definition is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the operation
       definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the operation definition to be referenced by a single globally unique identifier."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="cnl-1"/>         <severity value="warning"/>         <human value="URL should not contain | or # - these characters make processing canonical references

         problematic"/> 
        <expression value="exists() implies matches('^[^|# ]+$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.url"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="OperationDefinition.identifier">      <path value="OperationDefinition.identifier"/>       <short value="Additional identifier for the implementation guide (business identifier)"/>       <definition value="A formal identifier that is used to identify this implementation guide when it

       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated

       with the module."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="OperationDefinition.version">      <path value="OperationDefinition.version"/>       <short value="Business version of the operation definition"/>       <definition value="The identifier that is used to identify this version of the operation definition

       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the operation definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence."/> 
      <comment value="There may be different operation definitions that have the same url but different

       versions.  The version can be appended to the url in a reference to allow a reference
       to a particular business version of the operation definition with the format. The
       version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.version"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>     </element>     <element id="OperationDefinition.versionAlgorithm[x]">      <path value="OperationDefinition.versionAlgorithm[x]"/>       <short value="How to compare versions"/>       <definition value="Indicates the mechanism used to compare versions to determine which is more current."/>       <comment value="If 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 value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <type>         <code value="Coding"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.versionAlgorithm"/>       </mapping>     </element>     <element id="OperationDefinition.name">      <path value="OperationDefinition.name"/>       <short value="Name for this operation definition (computer friendly)"/>       <definition value="A natural language name identifying the operation definition. This name should

       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 

      <comment value="The 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.
      
      
      
      
        
      
      
      
      
        
        
      
    
    
      
      
      

       type no-whitespace name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support code generation."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <condition value="cnl-0"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.name"/>       </mapping>     </element>     <element id="OperationDefinition.title">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.title"/>       <short value="Name for this operation definition (human friendly)"/>       <definition value="A short, descriptive, user-friendly title for the operation definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this operation definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level operation definition.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the operation definition was published. The date
       must change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the operation definition
       changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the operation definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the operation
       definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the operation definition. This is not necessarily the same individual or
       organization that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the operation definition. This item SHOULD
       be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the operation definition.  May
       also allow for contact.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      

       white-space, etc."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.title"/>       </mapping>     </element>     <element id="OperationDefinition.status">      <path value="OperationDefinition.status"/>       <short value="draft | active | retired | unknown"/>       <definition value="The current state of this operation definition."/>       <comment value="A nominal state-transition diagram can be found in the] documentation
Unknown 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."/> 
      <requirements value="Enables tracking the lifecycle of the content and filtering of operation definitions

       that are appropriate for use versus not.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use

       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PublicationStatus"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="The lifecycle status of an artifact."/>         <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.status {different ValueSet}"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="OperationDefinition.kind">      <path value="OperationDefinition.kind"/>       <short value="operation | query"/>       <definition value="Whether this is an operation or a named query."/>       <comment value="Named queries are invoked differently, and have different capabilities."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <condition value="opd-5"/>       <condition value="opd-6"/>       <condition value="opd-7"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationKind"/>         </extension>         <strength value="required"/>         <description value="Whether an operation is a normal operation or a query."/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="OperationDefinition.experimental">      <path value="OperationDefinition.experimental"/>       <short value="For testing only - never for real usage"/>       <definition value="A Boolean value to indicate that this operation definition is authored for testing

       purposes (or education/evaluation/marketing) and no version of this resource will
       ever be intended for genuine usage."/> 
      <comment value="Allows filtering of operation definitions that are appropriate for use versus not..

       Experimental resources might include example instances in implementation guides,
       instances created solely for testing purposes, etc"/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level operation definition."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.experimental"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="OperationDefinition.date">      <path value="OperationDefinition.date"/>       <short value="Date last changed"/>       <definition value="The date  (and optionally time) when the operation definition was last significantly

       changed. The date must change when the business version changes and it must change
       if the status code changes. In addition, it should change when the substantive
       content of the operation definition changes."/> 
      <comment value="The 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 operation definition.
       Additional specific dates may be added as extensions or be found by consulting
       Provenances associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <alias value="Revision Date"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.date"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="OperationDefinition.publisher">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.publisher"/>       <short value="Name of the publisher/steward (organization or individual)"/>       <definition value="The name of the organization or individual responsible for the release and ongoing

       maintenance of the operation definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the operation definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the operation definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       operation definition. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the operation definition.

        May also allow for contact."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.publisher"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.witness"/>       </mapping>     </element>     <element id="OperationDefinition.contact">      <path value="OperationDefinition.contact"/>       <short value="Contact details for the publisher"/>       <definition value="Contact details to assist a user in finding and communicating with the publisher."/>       <comment value="May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.contact"/>       </mapping>     </element>     <element id="OperationDefinition.description">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.description"/>       <short value="Natural language description of the operation definition"/> 
      <definition value="A free text natural language description of the operation definition from a consumer's
       perspective.
      This description can be used to capture details such as why the operation definition was
       built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the operation
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the operation
       definition is presumed to be the predominant language in the place the operation definition
       was created).
      
      
      
        
      
      
        
        
      
    
    
      
        
      
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate operation definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      It may be possible for the operation definition to be used in jurisdictions other than
       those for which it was originally designed or intended.
      
      
      
        
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Explanation of why this operation definition is needed and why it has been designed as
       it has.
      This element does not describe the usage of the operation definition. Instead, it provides
       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 operation definition.
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Whether the operation affects state. Side effects such as producing audit trail entries
       do not count as 'affecting  state'.
      What http methods can be used for the operation depends on the .affectsState value and
       whether the input parameters are primitive or complex:

1. Servers SHALL support POST method for all operations.

2. Servers SHALL support GET method if all the parameters for the operation are primitive
       or there are no parameters and the operation has affectsState = false.
      
      
      
        
      
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      

       perspective."/> 
      <comment value="This 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 operation definition as
       conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the operation
       definition is presumed to be the predominant language in the place the operation
       definition was created)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.description"/>       </mapping>     </element>     <element id="OperationDefinition.useContext">      <path value="OperationDefinition.useContext"/>       <short value="The context that the content is intended to support"/>       <definition value="The content was developed with a focus and intent of supporting the contexts that

       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate operation definition."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or even

       any of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="UsageContext"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.useContext"/>       </mapping>     </element>     <element id="OperationDefinition.jurisdiction">      <path value="OperationDefinition.jurisdiction"/>       <short value="Jurisdiction of the authority that maintains the operation definition (if applicable)"/>       <definition value="A legal or geographic region in which the authority that maintains the resource

       is operating.  In general, the jurisdiction is also found in the useContext.  The
       useContext may reference additional jurisdictions because the defining jurisdiction
       does not necessarily limit the jurisdictions of use."/> 
      <comment value="It may be possible for the operation definition to be used in jurisdictions other

       than those for which it was originally designed or intended.
DEPRECATION 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 value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Jurisdiction"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="Countries and regions within which this artifact is targeted for use."/>         <valueSet value="http://terminology.hl7.org/ValueSet/jurisdiction"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.jurisdiction"/>       </mapping>     </element>     <element id="OperationDefinition.purpose">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.purpose"/>       <short value="Why this operation definition is defined"/>       <definition value="Explanation of why this operation definition is needed and why it has been designed

       as it has."/> 
      <comment value="This element does not describe the usage of the operation definition. Instead,

       it provides 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 operation definition."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.purpose"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="OperationDefinition.copyright">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.copyright"/>       <short value="Notice about intellectual property ownership, can include restrictions on use"/>       <definition value="A copyright statement relating to the operation definition and/or its contents.

       Copyright statements are notices of intellectual property ownership and can include
       restrictions on the use and publishing of the operation definition."/> 
      <requirements value="Consumers of the operation definition must be able to determine any legal restrictions

       on the use of the artifact and/or its content."/> 
      <alias value="License"/>       <alias value="Restrictions"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyright"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="OperationDefinition.copyrightLabel">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.copyrightLabel"/>       <short value="Copyright holder and year(s)"/>       <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that

       identifies the copyright holder, effective period, and optionally whether rights
       are restricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The copyright symbol and the '(c)' textual representation 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."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyrightLabel"/>       </mapping>     </element>     <element id="OperationDefinition.affectsState">      <path value="OperationDefinition.affectsState"/>       <short value="Whether content is changed by the operation"/>       <definition value="Whether the operation affects state. Side effects such as producing audit trail

       entries do not count as 'affecting  state'."/> 
      <comment value="What http methods can be used for the operation depends on the .affectsState value

       and whether the input parameters are primitive or complex:
1. Servers SHALL support POST method for all operations.
2. Servers SHALL support the GET method when the operation has affectsState = false
       and all required parameters for the operation are primitive."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.synchronicity">      <path value="OperationDefinition.synchronicity"/>       <short value="synchronous | asynchronous | either"/>       <definition value="Indicates that this operation must always be handled as synchronous or asynchronous,

       or that the server must provide both options, and clients can choose."/> 
      <comment value="An operation derived from another must be consistent with regard to synchronicity

       - it cannot change from synchronous to asynchronous or vice versa, but it may choose
       one if synchronicity is either or not specified"/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="It is up to server discretion whether to accept a particular invocation of the

       operation as synchronous or asynchronous."/> 
      <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/synchronicity-control|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.code">      <extension url="http://hl7.org/fhir/tools/StructureDefinition/no-binding">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.code"/>       <short value="Recommended name for operation in search url"/>       <definition value="The label that is recommended to be used in the URL for this operation. In some

       cases, servers may need to use a different CapabilityStatement operation.name to
       differentiate between multiple SearchParameters that happen to have the same code."/> 
      <comment value="For maximum compatibility, use only lowercase ASCII characters. Note that HL7 will

       never define multiple operations with the same code. See [Naming Rules &amp; Guidelines](http
      s://confluence.hl7.org/display/FHIR/Guide+to+Designing+Resources#GuidetoDesigningResources-Nam
      ingRules&amp;Guidelines) for the internal HL7 rules around codes, which are useful
       additional advice for all implementers"/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.code"/>       </mapping>     </element>     <element id="OperationDefinition.comment">      <path value="OperationDefinition.comment"/>       <short value="Additional information about use"/>       <definition value="Additional information about how to use this operation or named query."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.base">      <path value="OperationDefinition.base"/>       <short value="Marks this as a profile of the base"/>       <definition value="Indicates that this operation definition is a constraining profile on the base."/>       <comment value="A constrained profile can make optional parameters required or not used, introduce

       new parameters (required or optional), and clarify documentation."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.derivedFromCanonical"/>       </mapping>     </element>     <element id="OperationDefinition.resource">      <path value="OperationDefinition.resource"/>       <short value="Types this operation applies to"/>       <definition value="The types on which this operation can be executed."/> 
      <comment value="If the type is an abstract resource (&quot;Resource&quot; or &quot;DomainResource&quot;)
       then the operation can be invoked on any concrete specialization.
      
      
      
        
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Indicates whether this operation or named query can be invoked at the system level (e.g.
       without needing to choose a resource type for the context).
      
      
      
        
      
      
    
    
      
      
      Indicates whether this operation or named query can be invoked at the resource type level
       for any given resource type level (e.g. without needing to choose a specific resource
       id for the context).
      
      
      
        
      
      
    
    
      
      
      Indicates whether this operation can be invoked on a particular instance of one of the
       given types.
      
      
      
        
      
      
    
    
      
      
      Additional validation information for the in parameters - a single profile that covers
       all the parameters. The profile is a constraint on the parameters resource as a whole.
      If present the profile shall not conflict with what is specified in the parameters in
       the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked by a POST
       wih parameters or not.
      
      
      
        
        
      
    
    
      
      
      Additional validation information for the out parameters - a single profile that covers
       all the parameters. The profile is a constraint on the parameters resource.
      If present the profile shall not conflict with what is specified in the parameters in
       the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked by a POST
       wih parameters or not.
      
      
      
        
        
      
    
    
      
      
      
      Query Definitions only have one output parameter, named &quot;result&quot;. This might
       not be described, but can be to allow a profile to be defined.
      
      
      
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
      
    
    
      
      
      
      This name must be a token (start with a letter in a..z, and only contain letters, numerals,
       and underscore. Note that for search parameters (type = string, with a search type), the
       name may be altered by the search modifiers.
      
      
      
        
      
    
    
      
      
      
      If a parameter name is used for both an input and an output parameter, the parameter should
       be defined twice.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      if there is no stated parameter, then the parameter is a multi-part parameter; type and
       must have at least one part defined.
      
      
      
        
      
      
      
        
          
        
        
          
        
        
        A list of all the concrete types defined in this version of the FHIR specification - Abstract
         Types, Data Types and Resource Types.
        
      
    
    
      
      
      Used when the type is &quot;Reference&quot; or &quot;canonical&quot;, and identifies a
       profile structure or implementation Guide that applies to the target of the reference
       this parameter refers to. If any profiles are specified, then the content must conform
       to at least one of them. The URL can be a local reference - to a contained StructureDefinition,
       or a reference to another StructureDefinition or Implementation Guide by a canonical URL.
       When an implementation guide is specified, the target resource SHALL conform to at least
       one profile defined in the implementation guide.
      Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefi
      nition/Patient).
      
      
      
        
        
      
    
    
      
      
      How the parameter is understood as a search parameter. This is only used if the parameter
       type is 'string'.
      
      
      
        
      
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      Indicates the degree of conformance expectations associated with this binding - that is,
       the degree to which the provided value set must be adhered to in the instances.
      
      
      
      
      
      
        
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      

       then the operation can be invoked on any concrete specialization."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRTypes"/>         </extension>         <strength value="required"/>         <description value="A type of resource, or a Reference (from all versions)"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot3"/>         <additional>           <purpose value="ui"/>           <valueSet value="http://hl7.org/fhir/ValueSet/all-resource-types"/>         </additional>       </binding>     </element>     <element id="OperationDefinition.system">      <path value="OperationDefinition.system"/>       <short value="Invoke at the system level?"/>       <definition value="Indicates whether this operation or named query can be invoked at the system level

       (e.g. without needing to choose a resource type for the context)."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.type">      <path value="OperationDefinition.type"/>       <short value="Invoke at the type level?"/>       <definition value="Indicates whether this operation or named query can be invoked at the resource

       type level for any given resource type level (e.g. without needing to choose a
       specific resource id for the context)."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.instance">      <path value="OperationDefinition.instance"/>       <short value="Invoke on an instance?"/>       <definition value="Indicates whether this operation can be invoked on a particular instance of one

       of the given types."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <condition value="opd-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="OperationDefinition.inputProfile">      <path value="OperationDefinition.inputProfile"/>       <short value="Validation information for in parameters"/>       <definition value="Additional validation information for the in parameters - a single profile that

       covers all the parameters. The profile is a constraint on the parameters resource
       as a whole."/> 
      <comment value="If present the profile shall not conflict with what is specified in the parameters

       in the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked
       by a POST wih parameters or not."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.outputProfile">      <path value="OperationDefinition.outputProfile"/>       <short value="Validation information for out parameters"/>       <definition value="Additional validation information for the out parameters - a single profile that

       covers all the parameters. The profile is a constraint on the parameters resource."/> 
      <comment value="If present the profile shall not conflict with what is specified in the parameters

       in the operation definition (max/min etc.), though it may provide additional constraints.
       The constraints expressed in the profile apply whether the operation is invoked
       by a POST wih parameters or not."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter">      <path value="OperationDefinition.parameter"/>       <short value="Parameters for the operation/query"/>       <definition value="The parameters for the operation/query."/>       <comment value="Query Definitions only have one output parameter, named &quot;result&quot;. This

       might not be described, but can be to allow a profile to be defined."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="opd-7"/>       <constraint>         <key value="opd-1"/>         <severity value="error"/>         <human value="Either a type must be provided, or parts"/>         <expression value="type.exists() or part.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-2"/>         <severity value="error"/>         <human value="A search type can only be specified for parameters of type string"/>         <expression value="searchType.exists() implies type = 'string'"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-3"/>         <severity value="error"/>         <human value="A targetProfile can only be specified for parameters of type Reference, Canonical,

         or a Resource"/> 
        <expression value="targetProfile.exists() implies (type = 'Reference' or type = 'canonical' or type.memberOf('ht

        tp://hl7.org/fhir/ValueSet/all-resource-types'))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-4"/>         <severity value="error"/>         <human value="SearchParamType can only be specified on in parameters"/>         <expression value="(use = 'out') implies searchType.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <constraint>         <key value="opd-8"/>         <severity value="error"/>         <human value="Min &lt;= Max"/>         <expression value="(max = '*') or iif(max != '*', min &lt;= max.toInteger())"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.name">      <extension url="http://hl7.org/fhir/tools/StructureDefinition/no-binding">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.parameter.name"/>       <short value="Name in Parameters.parameter.name or in URL"/>       <definition value="The name of used to identify the parameter."/>       <comment value="This name must be a token (start with a letter in a..z or underscore and only contain

       letters, numerals, and underscore). Note that for search parameters (type = string,
       with a search type), the name may be altered by the search modifiers."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <condition value="opd-7"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.use">      <path value="OperationDefinition.parameter.use"/>       <short value="in | out"/>       <definition value="Whether this is an input or an output parameter."/>       <comment value="If a parameter name is used for both an input and an output parameter, the parameter

       should be defined twice."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <condition value="opd-6"/>       <condition value="opd-7"/>       <condition value="opd-4"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationParameterUse"/>         </extension>         <strength value="required"/>         <description value="Whether an operation parameter is an input or an output parameter."/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.scope">      <path value="OperationDefinition.parameter.scope"/>       <short value="instance | type | system"/>       <definition value="If present, indicates that the parameter applies when the operation is being invoked

       at the specified level."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="If no scope is indicated, it is assumed that the parameter is relevant whenever

       the operation is invoked."/> 
      <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OperationParameterScope"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-scope|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.min">      <path value="OperationDefinition.parameter.min"/>       <short value="Minimum Cardinality"/>       <definition value="The minimum number of times this parameter SHALL appear in the request or response."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.max">      <path value="OperationDefinition.parameter.max"/>       <short value="Maximum Cardinality (a number or *)"/>       <definition value="The maximum number of times this element is permitted to appear in the request

       or response."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="opd-9"/>         <severity value="error"/>         <human value="Max SHALL be a number or &quot;*&quot;"/>         <expression value="empty() or ($this = '*') or (toInteger() &gt;= 0)"/>         <source value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.documentation">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="OperationDefinition.parameter.documentation"/>       <short value="Description of meaning/use"/>       <definition value="Describes the meaning or use of this parameter."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.type">      <path value="OperationDefinition.parameter.type"/>       <short value="What type this parameter has"/>       <definition value="The type for this parameter."/>       <comment value="if there is no stated parameter, then the parameter is a multi-part parameter type

       and must have at least one part defined."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <condition value="opd-7"/>       <condition value="opd-1"/>       <condition value="opd-2"/>       <condition value="opd-3"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRAllTypes"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="A list of all the types defined in this version of the FHIR specification - Abstract

         Types, Data Types and Resource Types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.allowedType">      <path value="OperationDefinition.parameter.allowedType"/>       <short value="Allowed sub-type this parameter can have (if type is abstract)"/>       <definition value="Support for polymorphic types. If the parameter type is abstract, this element

       lists allowed sub-types for the parameter."/> 
      <comment value="In previous versions of FHIR, there was an extension for this: http://hl7.org/fhir/StructureD

      efinition/operationdefinition-allowed-type"/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FHIRAllTypes"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="A list of all the types defined in this version of the FHIR specification - Abstract

         Types, Data Types and Resource Types."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.targetProfile">      <path value="OperationDefinition.parameter.targetProfile"/>       <short value="If type is Reference | canonical, allowed targets. If type is 'Resource', then

       this constrains the allowed resource types"/> 
      <definition value="Used when the type is &quot;Reference&quot; or &quot;canonical&quot;, and identifies

       a profile structure or implementation Guide that applies to the target of the reference
       this parameter refers to. If any profiles are specified, then the content must
       conform to at least one of them. The URL can be a local reference - to a contained
       StructureDefinition, or a reference to another StructureDefinition or Implementation
       Guide by a canonical URL. When an implementation guide is specified, the target
       resource SHALL conform to at least one profile defined in the implementation guide."/> 
      <comment value="Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/Struct

      ureDefinition/Patient)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>       </type>       <condition value="opd-3"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.searchType">      <path value="OperationDefinition.parameter.searchType"/>       <short value="number | date | string | token | reference | composite | quantity | uri | special

       | resource"/> 
      <definition value="How the parameter is understood if/when it used as search parameter. This is only

       used if the parameter is a string."/> 
      <comment value="Parameters that are search parameter usually - but not always - are also defined

       for use with general searches, and function in the operation to filter the set
       of resources in scope for the operation just like the do when searching. The searchType
       describes how the server processes the value. For an example, see the [Evaluate
       Measure Operation](measure-operation-evaluate-measure.html)"/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <condition value="opd-6"/>       <condition value="opd-2"/>       <condition value="opd-4"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SearchParamType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="Data types allowed to be used for search parameters."/>         <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.binding">      <path value="OperationDefinition.parameter.binding"/>       <short value="ValueSet details if this is coded"/>       <definition value="Binds to a value set if this parameter is coded (code, Coding, CodeableConcept)."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.binding.strength">      <path value="OperationDefinition.parameter.binding.strength"/>       <short value="required | extensible | preferred | example | descriptive"/>       <definition value="Indicates the degree of conformance expectations associated with this binding -

       that is, the degree to which the provided value set must be adhered to in the instances."/> 
      <comment value="For further discussion, see [Using Terminologies](terminologies.html)."/>       <alias value="conformance"/>       <alias value="extensibility"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BindingStrength"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="Indication of the degree of conformance expectations associated with a binding."/>         <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot3"/>       </binding>     </element>     <element id="OperationDefinition.parameter.binding.valueSet">      <path value="OperationDefinition.parameter.binding.valueSet"/>       <short value="Source of value set"/> 
      <definition value="Points to the value set or external definition (e.g. implicit value set) that identifies
       the set of codes to be used.
      For value sets with a referenceResource, the display can contain the value set description.
        The reference may be version-specific or not.
      
      
      
        
        
      
    
    
      
        
      
      
      

       the set of codes to be used."/> 
      <comment value="For value sets with a referenceResource, the display can contain the value set

       description.  The reference may be version-specific or not."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom">      <path value="OperationDefinition.parameter.referencedFrom"/>       <short value="References to this parameter"/> 
      <definition value="Identifies other resource parameters within the operation invocation that are expected
       to resolve to this resource.
      
      
      
      
        
      
    
    
      
      
      The name of the parameter or dot-separated path of parameter names pointing to the resource
       parameter that is expected to contain a reference to this resource.
      
      
      
        
      
    
    
      
      
      The id of the element in the referencing resource that is expected to resolve to this
       resource.
      
      
      
        
      
    
    
      
      
      
      Query Definitions only have one output parameter, named &quot;result&quot;. This might
       not be described, but can be to allow a profile to be defined.
      
      
      
      
    
    
      
      

       to resolve to this resource."/> 
      <comment value="Resolution applies if the referenced parameter exists."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom.source">      <path value="OperationDefinition.parameter.referencedFrom.source"/>       <short value="Referencing parameter"/>       <definition value="The name of the parameter or dot-separated path of parameter names pointing to

       the resource parameter that is expected to contain a reference to this resource."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.referencedFrom.sourceId">      <path value="OperationDefinition.parameter.referencedFrom.sourceId"/>       <short value="Element id of reference"/>       <definition value="The id of the element in the referencing resource that is expected to resolve to

       this resource."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.parameter.part">      <path value="OperationDefinition.parameter.part"/>       <short value="Parts of a nested Parameter"/>       <definition value="The parts of a nested Parameter."/>       <comment value="Query Definitions only have one output parameter, named &quot;result&quot;. This

       might not be described, but can be to allow a profile to be defined."/> 
      <min value="0"/>       <max value="*"/>       <contentReference value="#OperationDefinition.parameter"/>       <condition value="opd-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload">      <path value="OperationDefinition.overload"/>       <short value="Define overloaded variants for when  generating code"/> 
      <definition value="Defines an appropriate combination of parameters to use when invoking this operation,
       to help code generators when generating overloaded parameter sets for this operation.
      The combinations are suggestions as to which sets of parameters to use together, but the
       combinations are not intended to be authoritative.
      
      
      
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
        
      
    
  

       to help code generators when generating overloaded parameter sets for this operation."/> 
      <comment value="The combinations are suggestions as to which sets of parameters to use together,

       but the combinations are not intended to be authoritative."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload.parameterName">      <path value="OperationDefinition.overload.parameterName"/>       <short value="Name of parameter to include in overload"/>       <definition value="Name of parameter to include in overload."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="OperationDefinition.overload.comment">      <path value="OperationDefinition.overload.comment"/>       <short value="Comments to go on overload"/>       <definition value="Comments to go on overload."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.