Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Implementationguide.profile.xml

Example StructureDefinition/ImplementationGuide (XML)

FHIR Infrastructure Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any defined compartments

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

Jump past Narrative

StructureDefinition for implementationguide

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ImplementationGuide"/> 
  <meta> 
    

    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
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            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
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            <span title="ImplementationGuide : A set of rules of how a particular interoperability or standards
             problem is solved - typically through the use of FHIR resources. This resource is used
             to gather all the parts of an implementation guide into a logical whole and to publish
             a computable definition of all the parts.

             problem is solved - typically through the use of FHIR resources. This resource
             is used to gather all the parts of an implementation guide into a logical whole
             and to publish a computable definition of all the parts.">ImplementationGuide</span> 

            <a name="ImplementationGuide"> </a> 
          </td> 
          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: #fff5e6

          <td class="hierarchy" style="vertical-align: top; text-align : 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: #fff5e6" title="Standards Status = Trial Use">TU</a> 

          </td> 
          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

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

           solid; padding:0px 4px 0px 4px">

            <a href="domainresource.html">DomainResource</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxA set of rules about how FHIR is used

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">A set of rules about how FHIR is used

            <br/>  
            + Warning: Name should be usable as an identifier for the module by machine processing

            <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/>  
            + Rule: If a resource has a fhirVersion, it must be oe of the versions defined for the
               Implementation Guide

            <span style="font-style: italic" title="ig-2">+ Rule: If a resource has a fhirVersion, it must be one of the versions defined
               for the Implementation Guide</span> 
            <br/>  
            <br/>  Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

            <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., 

             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.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            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., 

            <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 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.">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.

             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).

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> 

        
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  

            <span title="ImplementationGuide.url : An absolute URI that is used to identify this implementation
             guide 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 implementation guide is (or will be)
             published. This URL can be the target of a canonical reference. It SHALL remain the same
             when the implementation guide is stored on different servers.

             guide 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 implementation guide
             is (or will be) published. This URL can be the target of a canonical reference.
             It SHALL remain the same when the implementation guide is stored on different servers.">url</span> 

            <a name="ImplementationGuide.url"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : 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" 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;" title="This element has or is affected by some invariants">C</a> 

          </td> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#uri">uri</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Canonical identifier for this implementation guide, represented as a 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> 

        
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
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            ImplementationGuide.name : A natural language name identifying the implementation guide.
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="datatypes.html#string">string</a> 
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            <a href="datatypes.html#Coding">Coding</a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="ImplementationGuide.title : A short, descriptive, user-friendly title for the implementation
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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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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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#code">code</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
            <a href="valueset-publication-status.html">PublicationStatus</a>  (
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            <br/>  
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="datatypes.html#boolean">boolean</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            ImplementationGuide.date : The date  (and optionally time) when the implementation guide
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            ImplementationGuide.description : A free text natural language description of the implementation
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           padding:0px 4px 0px 4px

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            <a href="datatypes.html#markdown">markdown</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        
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             implementation guide instances.">useContext</span> 

            <a name="ImplementationGuide.useContext"> </a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

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

        
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            <span title="ImplementationGuide.jurisdiction : A legal or geographic region in which the implementation
             guide is intended to be used.">jurisdiction</span> 
            <a name="ImplementationGuide.jurisdiction"> </a> 
          </td> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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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 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxIntended jurisdiction for implementation guide (if applicable)

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <a href="valueset-jurisdiction.html">Jurisdiction</a>  (
            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.)

            <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/>  
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            ImplementationGuide.copyright : A copyright statement relating to the implementation guide
             and/or its contents. Copyright statements are generally legal restrictions on the use
             and publishing of the implementation guide.

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            <a name="ImplementationGuide.copyright"> </a> 
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            ImplementationGuide.license : The license that applies to this Implementation Guide, using
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="valueset-spdx-license.html">SPDXLicense</a>  (
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            ImplementationGuide.fhirVersion : The version(s) of the FHIR specification that this ImplementationG
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="datatypes.html#code">code</a> 
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           padding:0px 4px 0px 4pxFHIR Version(s) this Implementation Guide targets

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#canonical">canonical</a> (
            <a href="implementationguide.html">ImplementationGuide</a> )
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            ImplementationGuide.dependsOn.version : The version of the IG that is depended on, when
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.global : A set of profiles that all resources covered by this implementation
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            <span title="ImplementationGuide.dependsOn.reason : A description explaining the nature of the

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            <a name="ImplementationGuide.dependsOn.reason"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Why dependency exists
            <br/>  
          </td> 
        </tr> 


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

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

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

            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Profiles that apply globally
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.global.type : The type of resource that all instances must conform
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            <a name="ImplementationGuide.global.type"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#code">code</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
             (
            )

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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="datatypes.html#canonical">canonical</a> (
            <a href="structuredefinition.html">StructureDefinition</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
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            ImplementationGuide.definition : The information needed by an IG publisher tool to publish
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxInformation needed to build the IG

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
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            <br/>  
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            <br/>  
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            <span title="ImplementationGuide.definition.resource.reference : Where this resource is found.">reference</span> 
            <a name="ImplementationGuide.definition.resource.reference"> </a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="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

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Location of the resource
            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.definition.resource.fhirVersion : Indicates the FHIR Version(s) this
             artifact is intended to apply to. If no versions are specified, the resource is assumed
             to apply to all the versions stated in ImplementationGuide.fhirVersion.

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            <span title="ImplementationGuide.definition.resource.fhirVersion : Indicates the FHIR Version(s)

             this artifact is intended to apply to. If no versions are specified, the resource
             is assumed to apply to all the versions stated in ImplementationGuide.fhirVersion.">fhirVersion</span> 

            <a name="ImplementationGuide.definition.resource.fhirVersion"> </a> 
          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxVersions this applies to (if different to IG)

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Versions this applies to (if different to IG)

            <br/>  
            <a href="valueset-FHIR-version.html">FHIRVersion</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> 

        
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            <span title="ImplementationGuide.definition.resource.name : A human assigned name for the resource.
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             ValueSet.name).

             All resources SHOULD have a name, but the name may be extracted from the resource
             (e.g. ValueSet.name).">name</span> 

            <a name="ImplementationGuide.definition.resource.name"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

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            <a href="datatypes.html#string">string</a> 
          </td> 
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           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Human readable name for the resource
            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.definition.resource.description : A description of the reason that
             a resource has been included in the implementation guide.

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             that a resource has been included in the implementation guide.">description</span> 

            <a name="ImplementationGuide.definition.resource.description"> </a> 
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           padding:0px 4px 0px 4px
            

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          <td class="hierarchy" style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Reason why included in guide
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

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            ImplementationGuide.definition.resource.example[x] : If true or a reference, indicates
             the resource is an example instance.  If a reference is present, indicates that the example
             is an example of the specified profile.
            

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            <a name="ImplementationGuide.definition.resource.isExample"> </a> 
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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

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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Is this an example
            <br/>  
          </td> 
        </tr> 

        
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            <a href="datatypes.html#canonical">canonical</a> (
            <a href="structuredefinition.html">StructureDefinition</a> )
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            <br/>  
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            ImplementationGuide.definition.resource.groupingId : Reference to the id of the grouping
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
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            ImplementationGuide.definition.page : A page / section in the implementation guide. The
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <br/>  
            <span style="font-style: italic" title="ig-3">+ Rule: Source must be absent if 'generated' is generated</span> 
            <br/>  
          </td> 
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDefines how IG is built by tools

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Defines how IG is built by tools
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.definition.parameter.code : apply | path-resource | path-pages | path-tx-cache
             | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle
             | html-template.

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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
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#Coding">Coding</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxapply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links
             | generate-xml | generate-json | generate-turtle | html-template

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <a href="valueset-guide-parameter-code.html">GuideParameterCode</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> 

        
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            <a href="datatypes.html#string">string</a> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxA template for building resources

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="datatypes.html#code">code</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
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            <a href="datatypes.html#string">string</a> 
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            <br/>  
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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            <span title="ImplementationGuide.manifest.resource : A resource that is part of the implementation
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             resource.

             guide. Conformance resources (value set, structure definition, capability statements
             etc.) are obvious candidates for inclusion, but any kind of resource can be included
             as an example resource.">resource</span> 

            <a name="ImplementationGuide.manifest.resource"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : 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" title="This element is included in summaries">Σ</a> 
          </td> 
          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
            

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxResource in the implementation guide

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Resource in the implementation guide
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ImplementationGuide.manifest.resource.reference : Where this resource is found.">reference</span> 
            <a name="ImplementationGuide.manifest.resource.reference"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : 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" title="This element is included in summaries">Σ</a> 
          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            ImplementationGuide.manifest.resource.example[x] : If true or a reference, indicates the
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
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          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

        </tr> 

        
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            <span title="ImplementationGuide.manifest.resource.isExample : If true, indicates the resource

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            <a name="ImplementationGuide.manifest.resource.isExample"> </a> 
          </td> 
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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

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Is this an example
            <br/>  
          </td> 
        </tr> 

        
          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,iVB
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            +O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjw
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            lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC exampleCanonical

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="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;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

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            <span title="ImplementationGuide.manifest.resource.profile : If present, indicates profile(s)

             the instance is valid against.">profile</span> 
            <a name="ImplementationGuide.manifest.resource.profile"> </a> 
          </td> 
          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

          <td class="hierarchy" style="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

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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Profile(s) this is an example of
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ImplementationGuide.manifest.resource.relativePath : The relative path for primary page
             for this resource within the IG.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ImplementationGuide.manifest.resource.relativePath : The relative path for primary

             page for this resource within the IG.">relativePath</span> 

            <a name="ImplementationGuide.manifest.resource.relativePath"> </a> 
          </td> 
          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

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#url">url</a> 
          </td> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Relative path for page in IG
            <br/>  
          </td> 
        </tr> 

        
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            <a href="datatypes.html#string">string</a> 
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            <span title="ImplementationGuide.manifest.page.anchor : The name of an anchor available on the

             page.">anchor</span> 

            <a name="ImplementationGuide.manifest.page.anchor"> </a> 
          </td> 
          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

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

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#string">string</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAnchor available on the page

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Anchor available on the page
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          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,iVB
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            RgwAAAABJRU5ErkJggg== 
            ImplementationGuide.manifest.image : Indicates a relative path to an image that exists
             within the IG.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImplementationGuide.manifest.image : Indicates a relative path to an image that

             exists within the IG.">image</span> 

            <a name="ImplementationGuide.manifest.image"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="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

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

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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Image within the IG
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          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,iVBORw0KGg
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          ASUVORK5CYII=)
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            RgwAAAABJRU5ErkJggg== 
            ImplementationGuide.manifest.other : Indicates the relative path of an additional non-page,
             non-image file that is part of the IG - e.g. zip, jar and similar files that could be
             the target of a hyperlink in a derived IG.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : 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:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="ImplementationGuide.manifest.other : Indicates the relative path of an additional

             non-page, non-image file that is part of the IG - e.g. zip, jar and similar files
             that could be the target of a hyperlink in a derived IG.">other</span> 

            <a name="ImplementationGuide.manifest.other"> </a> 
          </td> 
          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

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

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#string">string</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdditional linkable file in IG

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Additional linkable file in IG
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Foundation.Conformance"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">
    <valueUri value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="anonymous"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
  

  <version value="5.0.0-ballot"/> 
  <name value="ImplementationGuide"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  

  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="Health Level Seven International (FHIR Infrastructure)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"/> 
    </telecom> 
  </contact> 
  A set of rules of how a particular interoperability or standards problem is solved - typically
   through the use of FHIR resources. This resource is used to gather all the parts of an
   implementation guide into a logical whole and to publish a computable definition of all
   the parts.
  An implementation guide is able to define default profiles that must apply to any use
   of a resource, so validation services may need to take one or more implementation guide
   resources when validating.
  

  <description value="A set of rules of how a particular interoperability or standards problem is solved
   - typically through the use of FHIR resources. This resource is used to gather
   all the parts of an implementation guide into a logical whole and to publish a
   computable definition of all the parts."/> 
  <purpose value="An implementation guide is able to define default profiles that must apply to any

   use of a resource, so validation services may need to take one or more implementation
   guide resources when validating."/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern 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="ImplementationGuide"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="ImplementationGuide">
      <path value="ImplementationGuide"/> 
      <short value="A set of rules about how FHIR is used"/> 
      A set of rules of how a particular interoperability or standards problem is solved - typically
       through the use of FHIR resources. This resource is used to gather all the parts of an
       implementation guide into a logical whole and to publish a computable definition of all
       the parts.

      <definition value="A set of rules of how a particular interoperability or standards problem is solved
       - typically through the use of FHIR resources. This resource is used to gather
       all the parts of an implementation guide into a logical whole and to publish a
       computable definition of all the parts."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        
        
        
        
        
        
      
      
        
        
        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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
        nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))
         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
         id).empty()
        not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/f:id/@value)) or exists(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.
        
        
        
        
        
        
        
      
      
        

        <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"/> 
        
        

        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <constraint> 
        <key value="ig-2"/> 
        <severity value="error"/> 
        If a resource has a fhirVersion, it must be oe of the versions defined for the Implementation
         Guide

        <human value="If a resource has a fhirVersion, it must be one of the versions defined for the
         Implementation Guide"/> 

        <expression value="definition.resource.fhirVersion.all(%context.fhirVersion contains $this)"/> 
        count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id/@value
        )])=0

        <xpath value="count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id
        /@value)])=0"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        
      
      
        

        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="conformance.misc"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.id">
      <path value="ImplementationGuide.id"/> 
      <short value="Logical id of this artifact"/> 
      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.

      <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="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.meta">
      <path value="ImplementationGuide.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.

       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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.implicitRules">
      <path value="ImplementationGuide.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      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.

      <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."/> 
      <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 it's 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.language">
      <path value="ImplementationGuide.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      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).

      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <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="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.text">
      <path value="ImplementationGuide.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      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.

      <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> 
      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="ImplementationGuide.contained">
      <path value="ImplementationGuide.contained"/> 
      <short value="Contained, inline Resources"/> 
      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.

      <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."/> 

      <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> 
      
        
        
        Containing new R4B resources within R4 resources may cause interoperability issues if
         instances are shared with R4 systems
        ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
         or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
         is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
         or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
         or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
         or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
        nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
         or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
        ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
         is SubscriptionTopic)
        not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
        dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
        uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
        n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
        finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
        dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
        f:SubscriptionStatus|f:SubscriptionTopic)
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.extension">
      <path value="ImplementationGuide.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 manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.modifierExtension">
      <path value="ImplementationGuide.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      

      <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="ImplementationGuide.url">
      <path value="ImplementationGuide.url"/> 
      

      <short value="Canonical identifier for this implementation guide, represented as a URI (globally
       unique)"/> 

      <definition value="An absolute URI that is used to identify this implementation guide 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 implementation guide is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the implementation guide 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.

       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this implementation guide is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the implementation
       guide 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). 

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.

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 implementation guide to be referenced by a single globally unique identifier.
       This is required to allow hosting Implementation Guides on multiple different servers,
       and to allow for the editorial process."/> 
      <alias value="url"/> 
      <alias value="authoritative-url"/> 
      <alias value="destination"/> 
      <alias value="identity"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.url"/> 
        <min value="1"/> 
        <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="url.matches('([^|#])*')"/> 
        <xpath value="not(exists(@value)) or matches(@value, '([^|#])*')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="ImplementationGuide.version">
      <path value="ImplementationGuide.version"/> 
      <short value="Business version of the implementation guide"/> 
      The identifier that is used to identify this version of the implementation guide when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the implementation guide 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 implementation guide 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 implementation guide with the format
       [url]|[version].

      <definition value="The identifier that is used to identify this version of the implementation guide
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the implementation guide 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 implementation guide 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 implementation guide
       with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business
       Version](resource.html#bv-format)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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.version"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.versionAlgorithm[x]">
      <path value="ImplementationGuide.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="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.name">
      <path value="ImplementationGuide.name"/> 
      <short value="Name for this implementation guide (computer friendly)"/> 
      A natural language name identifying the implementation guide. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.

      <definition value="A natural language name identifying the implementation guide. 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."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.title">
      <path value="ImplementationGuide.title"/> 
      <short value="Name for this implementation guide (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the implementation guide."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.status">
      <path value="ImplementationGuide.status"/> 
      <short value="draft | active | retired | unknown"/> 
      

      <definition value="The status of this implementation guide. Enables tracking the life-cycle of the
       content."/> 

      <comment value="Allows filtering of implementation guides that are appropriate for use versus not."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration

      <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|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        
        
      
      

        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.experimental">
      <path value="ImplementationGuide.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      A Boolean value to indicate that this implementation guide is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.

      <definition value="A Boolean value to indicate that this implementation guide is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 

      <comment value="Allows filtering of implementation guides that are appropriate for use versus not."/> 
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level implementation guide.

      <requirements value="Enables experimental content to be developed following the same lifecycle that
       would be used for a production-level implementation guide."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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.class"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.date">
      <path value="ImplementationGuide.date"/> 
      <short value="Date last changed"/> 
      The date  (and optionally time) when the implementation guide 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 implementation guide
       changes.

      <definition value="The date  (and optionally time) when the implementation guide 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
       implementation guide changes."/> 

      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the implementation guide. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.

       may be a secondary representation of the implementation guide. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 

      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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.recorded"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.publisher">
      <path value="ImplementationGuide.publisher"/> 
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the implementation
       guide is the organization or individual primarily responsible for the maintenance and
       upkeep of the implementation guide. 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 implementation guide. This item SHOULD be
       populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the implementation guide.  May
       also allow for contact.

      <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 implementation guide."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the implementation guide is the organization or individual primarily responsible
       for the maintenance and upkeep of the implementation guide. 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
       implementation guide. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the implementation guide.

        May also allow for contact."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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.witness"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.contact">
      <path value="ImplementationGuide.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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.description">
      <path value="ImplementationGuide.description"/> 
      <short value="Natural language description of the implementation guide"/> 
      <definition value="A free text natural language description of the implementation guide from a consumer's
       perspective."/> 
      This description can be used to capture details such as why the implementation guide 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 implementation
       guide 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 implementation
       guide is presumed to be the predominant language in the place the implementation guide
       was created).

      <comment value="This description can be used to capture details such as why the implementation
       guide 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 implementation guide 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 implementation guide is presumed to be the predominant
       language in the place the implementation guide was created)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.useContext">
      <path value="ImplementationGuide.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      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 implementation guide instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.

      <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 implementation guide instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any

       of the contexts apply."/> 

      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.jurisdiction">
      <path value="ImplementationGuide.jurisdiction"/> 
      <short value="Intended jurisdiction for implementation guide (if applicable)"/> 
      
      It may be possible for the implementation guide to be used in jurisdictions other than
       those for which it was originally designed or intended.

      <definition value="A legal or geographic region in which the implementation guide is intended to be
       used."/> 
      <comment value="It may be possible for the implementation guide to be used in jurisdictions other

       than those for which it was originally designed or intended."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.copyright">
      <path value="ImplementationGuide.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      A copyright statement relating to the implementation guide and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the implementation
       guide.

      <definition value="A copyright statement relating to the implementation guide and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the implementation guide."/> 
      <comment value="..."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the implementation
       guide and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        
        
      
      

        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.copyrightLabel">
      <path value="ImplementationGuide.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 resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software

       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.packageId">
      <path value="ImplementationGuide.packageId"/> 
      <short value="NPM Package name for IG"/> 
      <definition value="The NPM package name for this Implementation Guide, used in the NPM package distribution,
       which is the primary mechanism by which FHIR based tooling manages IG dependencies. This
       value must be globally unique, and should be assigned with care.
      Many (if not all) IG publishing tools will require that this element be present. For implementation
       guides published through HL7 or the FHIR foundation, the FHIR product director assigns
       package IDs.

       which is the primary mechanism by which FHIR based tooling manages IG dependencies.
       This value must be globally unique, and should be assigned with care."/> 
      <comment value="Many (if not all) IG publishing tools will require that this element be present.

       For implementation guides published through HL7 or the FHIR foundation, the FHIR
       product director assigns package IDs."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.packageId"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.license">
      <path value="ImplementationGuide.license"/> 
      <short value="SPDX license code for this IG (or not-open-source)"/> 
      The license that applies to this Implementation Guide, using an SPDX license code, or
       'not-open-source'.

      <definition value="The license that applies to this Implementation Guide, using an SPDX license code,
       or 'not-open-source'."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.license"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="SPDXLicense"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers,
         or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed
         to be used (https://spdx.org/licenses/).
        

         or 'not-open-source'). The binding is required but new SPDX license Identifiers
         are allowed to be used (https://spdx.org/licenses/)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.fhirVersion">
      <path value="ImplementationGuide.fhirVersion"/> 
      <short value="FHIR Version(s) this Implementation Guide targets"/> 
      The version(s) of the FHIR specification that this ImplementationGuide targets - e.g.
       describes how to use. The value of this element is the formal version of the specification,
       without the revision number, e.g. [publication].[major].[minor], which is 4.3.0.
       for this version.
      Most implementation guides target a single version - e.g. they describe how to use a particular
       version, and the profiles and examples etc are valid for that version. But some implementation
       guides describe how to use multiple different versions of FHIR to solve the same problem,
       or in concert with each other. Typically, the requirement to support multiple versions
       arises as implementation matures and different implementation communities are stuck at
       different versions by regulation or market dynamics.

      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets
       - e.g. describes how to use. The value of this element is the formal version of
       the specification, without the revision number, e.g. [publication].[major].[minor],
       which is 4.6.0. for this version."/> 
      <comment value="Most implementation guides target a single version - e.g. they describe how to

       use a particular version, and the profiles and examples etc are valid for that
       version. But some implementation guides describe how to use multiple different
       versions of FHIR to solve the same problem, or in concert with each other. Typically,
       the requirement to support multiple versions arises as implementation matures and
       different implementation communities are stuck at different versions by regulation
       or market dynamics."/> 

      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.fhirVersion"/> 
        <min value="1"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.dependsOn">
      <path value="ImplementationGuide.dependsOn"/> 
      <short value="Another Implementation guide this depends on"/> 
      Another implementation guide that this implementation depends on. Typically, an implementation
       guide uses value sets, profiles etc.defined in other implementation guides.

      <definition value="Another implementation guide that this implementation depends on. Typically, an
       implementation guide uses value sets, profiles etc.defined in other implementation
       guides."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.dependsOn"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.id">
      <path value="ImplementationGuide.dependsOn.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.dependsOn.extension">
      <path value="ImplementationGuide.dependsOn.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.dependsOn.modifierExtension">
      <path value="ImplementationGuide.dependsOn.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.dependsOn.uri">
      <path value="ImplementationGuide.dependsOn.uri"/> 
      <short value="Identity of the IG that this depends on"/> 
      <definition value="A canonical reference to the Implementation guide for the dependency."/> 
      Usually, A canonical reference to the implementation guide is the same as the master location
       at which the implementation guide is published.

      <comment value="Usually, A canonical reference to the implementation guide is the same as the master
       location at which the implementation guide is published."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.dependsOn.uri"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.packageId">
      <path value="ImplementationGuide.dependsOn.packageId"/> 
      <short value="NPM Package name for IG this depends on"/> 
      <definition value="The NPM package name for the Implementation Guide that this IG depends on."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.dependsOn.packageId"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.version">
      <path value="ImplementationGuide.dependsOn.version"/> 
      <short value="Version of the IG"/> 
      The version of the IG that is depended on, when the correct version is required to understand
       the IG correctly.

      <definition value="The version of the IG that is depended on, when the correct version is required
       to understand the IG correctly."/> 

      <comment value="This follows the syntax of the NPM packaging version field - see [[reference]]."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.dependsOn.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.reason">
      <path value="ImplementationGuide.dependsOn.reason"/> 
      <short value="Why dependency exists"/> 
      <definition value="A description explaining the nature of the dependency on the listed IG."/> 
      <comment value="This doesn't need to enumerate every resource used, but should give some sense
       of why the dependency exists.  It will be used in the rendered list of dependencies"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.dependsOn.reason"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.global">
      <path value="ImplementationGuide.global"/> 
      <short value="Profiles that apply globally"/> 
      A set of profiles that all resources covered by this implementation guide must conform
       to.
      See [Default Profiles](implementationguide.html#default) for a discussion of which resources
       are 'covered' by an implementation guide.

      <definition value="A set of profiles that all resources covered by this implementation guide must
       conform to."/> 
      <comment value="See [Default Profiles](implementationguide.html#default) for a discussion of which

       resources are 'covered' by an implementation guide."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.global"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.global.id">
      <path value="ImplementationGuide.global.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.global.extension">
      <path value="ImplementationGuide.global.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.global.modifierExtension">
      <path value="ImplementationGuide.global.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.global.type">
      <path value="ImplementationGuide.global.type"/> 
      <short value="Type this profile applies to"/> 
      <definition value="The type of resource that all instances must conform to."/> 
      The type must match that of the profile that is referred to but is made explicit here
       as a denormalization so that a system processing the implementation guide resource knows
       which resources the profile applies to even if the profile itself is not available.

      <comment value="The type must match that of the profile that is referred to but is made explicit
       here as a denormalization so that a system processing the implementation guide
       resource knows which resources the profile applies to even if the profile itself
       is not available."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.global.type"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="ResourceType"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="One of the resource types defined as part of this version of FHIR."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.global.profile">
      <path value="ImplementationGuide.global.profile"/> 
      <short value="Profile that all resources must conform to"/> 
      <definition value="A reference to the profile that all instances must conform to."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.global.profile"/> 
        <min value="1"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.definition">
      <path value="ImplementationGuide.definition"/> 
      <short value="Information needed to build the IG"/> 
      
      Principally, this consists of information abuot source resource and file locations, and
       build parameters and templates.

      <definition value="The information needed by an IG publisher tool to publish the whole implementation
       guide."/> 
      <comment value="Principally, this consists of information abuot source resource and file locations,

       and build parameters and templates."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ig-1"/> 
        <severity value="error"/> 
        <human value="If a resource has a groupingId, it must refer to a grouping defined in the Implementation
         Guide"/> 
        <expression value="resource.groupingId.all(%context.grouping.id contains $this)"/> 
        

        <xpath value="count(for $id in (f:resource/f:groupingId) return $id[not(ancestor::f:grouping/@id=$id/@value
        )])=0"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.id">
      <path value="ImplementationGuide.definition.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.extension">
      <path value="ImplementationGuide.definition.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.modifierExtension">
      <path value="ImplementationGuide.definition.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.definition.grouping">
      <path value="ImplementationGuide.definition.grouping"/> 
      <short value="Grouping used to present related resources in the IG"/> 
      <definition value="A logical group of resources. Logical groups can be used when building pages."/> 
      Groupings are arbitrary sub-divisions of content. Typically, they are used to help build
       Table of Contents automatically.

      <comment value="Groupings are arbitrary sub-divisions of content. Typically, they are used to help
       build Table of Contents automatically."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.grouping"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.id">
      <path value="ImplementationGuide.definition.grouping.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.extension">
      <path value="ImplementationGuide.definition.grouping.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.modifierExtension">
      <path value="ImplementationGuide.definition.grouping.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.definition.grouping.name">
      <path value="ImplementationGuide.definition.grouping.name"/> 
      <short value="Descriptive name for the package"/> 
      The human-readable title to display for the package of resources when rendering the implementation
       guide.

      <definition value="The human-readable title to display for the package of resources when rendering
       the implementation guide."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.grouping.name"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.description">
      <path value="ImplementationGuide.definition.grouping.description"/> 
      <short value="Human readable text describing the package"/> 
      <definition value="Human readable text describing the package."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.grouping.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource">
      <path value="ImplementationGuide.definition.resource"/> 
      <short value="Resource in the implementation guide"/> 
      A resource that is part of the implementation guide. Conformance resources (value set,
       structure definition, capability statements etc.) are obvious candidates for inclusion,
       but any kind of resource can be included as an example resource.
      

      <definition value="A resource that is part of the implementation guide. Conformance resources (value
       set, structure definition, capability statements etc.) are obvious candidates for
       inclusion, but any kind of resource can be included as an example resource."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource"/> 
        

        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.id">
      <path value="ImplementationGuide.definition.resource.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.resource.extension">
      <path value="ImplementationGuide.definition.resource.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.resource.modifierExtension">
      <path value="ImplementationGuide.definition.resource.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.definition.resource.reference">
      <path value="ImplementationGuide.definition.resource.reference"/> 
      <short value="Location of the resource"/> 
      <definition value="Where this resource is found."/> 
      Usually this is a relative URL that locates the resource within the implementation guide.
       If you authoring an implementation guide, and will publish it using the FHIR publication
       tooling, use a URI that may point to a resource, or to one of various alternative representations
       (e.g. spreadsheet). The tooling will convert this when it publishes it.

      <comment value="Usually this is a relative URL that locates the resource within the implementation
       guide. If you authoring an implementation guide, and will publish it using the
       FHIR publication tooling, use a URI that may point to a resource, or to one of
       various alternative representations (e.g. spreadsheet). The tooling will convert
       this when it publishes it."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.reference"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.fhirVersion">
      <path value="ImplementationGuide.definition.resource.fhirVersion"/> 
      <short value="Versions this applies to (if different to IG)"/> 
      Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions are
       specified, the resource is assumed to apply to all the versions stated in ImplementationGuide.fhirVe
      rsion.
      The resource SHALL be valid against all the versions it is specified to apply to. If the
       resource referred to is a StructureDefinition, the fhirVersion stated in the StructureDefinition
       cannot disagree with the version specified here; the specified versions SHALL include
       the version specified by the StructureDefinition, and may include additional versions
       using the [applicable-version](extension-structuredefinition-applicable-version.html)
       extension.

      <definition value="Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions
       are specified, the resource is assumed to apply to all the versions stated in ImplementationG
      uide.fhirVersion."/> 
      <comment value="The resource SHALL be valid against all the versions it is specified to apply to.

       If the resource referred to is a StructureDefinition, the fhirVersion stated in
       the StructureDefinition cannot disagree with the version specified here; the specified
       versions SHALL include the version specified by the StructureDefinition, and may
       include additional versions using the [applicable-version](extension-structuredefinition-appl
      icable-version.html) extension."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.fhirVersion"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.resource.name">
      <path value="ImplementationGuide.definition.resource.name"/> 
      
      A human assigned name for the resource. All resources SHOULD have a name, but the name
       may be extracted from the resource (e.g. ValueSet.name).

      <short value="Human readable name for the resource"/> 
      <definition value="A human assigned name for the resource. All resources SHOULD have a name, but the
       name may be extracted from the resource (e.g. ValueSet.name)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.name"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.description">
      <path value="ImplementationGuide.definition.resource.description"/> 
      <short value="Reason why included in guide"/> 
      
      This is mostly used with examples to explain why it is present (though they can have extensive
       comments in the examples).

      <definition value="A description of the reason that a resource has been included in the implementation
       guide."/> 
      <comment value="This is mostly used with examples to explain why it is present (though they can

       have extensive comments in the examples)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      
      
      If true or a reference, indicates the resource is an example instance.  If a reference
       is present, indicates that the example is an example of the specified profile.

    <element id="ImplementationGuide.definition.resource.isExample">
      <path value="ImplementationGuide.definition.resource.isExample"/> 
      <short value="Is this an example"/> 
      <definition value="If true, indicates the resource is an example instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.isExample"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.profile">
      <path value="ImplementationGuide.definition.resource.profile"/> 
      <short value="Profile(s) this is an example of"/> 
      <definition value="If present, indicates profile(s) the instance is valid against."/> 
      <comment value="Examples: 

* StructureDefinition -&gt; Any 
* ValueSet -&gt; expansion 
* OperationDefinition -&gt; Parameters 
* Questionnaire -&gt; QuestionnaireResponse."/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <base> 
        

        <path value="ImplementationGuide.definition.resource.profile"/> 
        <min value="0"/> 
        

        <max value="*"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.groupingId">
      <path value="ImplementationGuide.definition.resource.groupingId"/> 
      <short value="Grouping this is part of"/> 
      <definition value="Reference to the id of the grouping this resource appears in."/> 
      

      <comment value="This must correspond to a group.id element within this implementation guide."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.resource.groupingId"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page">
      <path value="ImplementationGuide.definition.page"/> 
      <short value="Page/Section in the Guide"/> 
      A page / section in the implementation guide. The root page is the implementation guide
       home page.
      Pages automatically become sections if they have sub-pages. By convention, the home page
       is called index.html.

      <definition value="A page / section in the implementation guide. The root page is the implementation
       guide home page."/> 
      <comment value="Pages automatically become sections if they have sub-pages. By convention, the

       home page is called index.html."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.page"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ig-3"/> 
        <severity value="error"/> 
        <human value="Source must be absent if 'generated' is generated"/> 
        <expression value="generated='generated' implies source.empty()"/> 
        <xpath value="not(f:generated/@value='generated') or not(exists(f:source))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.id">
      <path value="ImplementationGuide.definition.page.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.page.extension">
      <path value="ImplementationGuide.definition.page.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.page.modifierExtension">
      <path value="ImplementationGuide.definition.page.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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> 
    
      
      
      
      The publishing tool will autogenerate source for list (source = n/a) and inject included
       implementations for include (source = uri of guide to include).
      

    <element id="ImplementationGuide.definition.page.source[x]">
      <path value="ImplementationGuide.definition.page.source[x]"/> 
      <short value="Source for page"/> 
      <definition value="Indicates the URL or the actual content to provide for the page."/> 
      <comment value="If absent and the page isn't a generated page, this may be inferred from the page
       name by checking input locations.  String is used for XHTML content - sent as an
       escaped string.  FHIR tooling can't support 'direct' XHTML anywhere other than
       in narrative."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        
        

        <path value="ImplementationGuide.definition.page.source[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        
        

        <code value="string"/> 
      </type> 
      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.name">
      <path value="ImplementationGuide.definition.page.name"/> 
      <short value="Name of the page when published"/> 
      <definition value="The url by which the page should be known when published."/> 
      <comment value="This SHALL be a local reference, expressed with respect to the root of the IG output
       folder.  No suffix is required.  If no suffix is specified, .html will be appended."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.page.name"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="url"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.title">
      <path value="ImplementationGuide.definition.page.title"/> 
      <short value="Short title shown for navigational assistance"/> 
      A short title used to represent this page in navigational structures such as table of
       contents, bread crumbs, etc.

      <definition value="A short title used to represent this page in navigational structures such as table
       of contents, bread crumbs, etc."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.page.title"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.generation">
      <path value="ImplementationGuide.definition.page.generation"/> 
      <short value="html | markdown | xml | generated"/> 
      <definition value="A code that indicates how the page is generated."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.page.generation"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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="GuidePageGeneration"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A code that indicates how the page is generated."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.page.page">
      <path value="ImplementationGuide.definition.page.page"/> 
      <short value="Nested Pages / Sections"/> 
      <definition value="Nested Pages/Sections under this page."/> 
      

      <comment value="The implementation guide breadcrumbs may be generated from this structure."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.page.page"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#ImplementationGuide.definition.page"/> 
      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.parameter">
      <path value="ImplementationGuide.definition.parameter"/> 
      <short value="Defines how IG is built by tools"/> 
      

      <definition value="A set of parameters that defines how the implementation guide is built. The parameters
       are defined by the relevant tools that build the implementation guides."/> 
      <comment value="see [confluence](https://confluence.hl7.org/display/FHIR/Implementation+Guide+Parameters)

       for the parameters defined by the HL7 IG publisher."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.parameter"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.id">
      <path value="ImplementationGuide.definition.parameter.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.extension">
      <path value="ImplementationGuide.definition.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.modifierExtension">
      <path value="ImplementationGuide.definition.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.definition.parameter.code">
      <path value="ImplementationGuide.definition.parameter.code"/> 
      apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links
       | generate-xml | generate-json | generate-turtle | html-template
      apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links
       | generate-xml | generate-json | generate-turtle | html-template.

      <short value="Code that identifies parameter"/> 
      <definition value="A tool-specific code that defines the parameter."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.parameter.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <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"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/guide-parameter-code"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.value">
      <path value="ImplementationGuide.definition.parameter.value"/> 
      <short value="Value for named type"/> 
      <definition value="Value for named type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.parameter.value"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template">
      <path value="ImplementationGuide.definition.template"/> 
      <short value="A template for building resources"/> 
      <definition value="A template for building resources."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.definition.template"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.id">
      <path value="ImplementationGuide.definition.template.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.template.extension">
      <path value="ImplementationGuide.definition.template.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.definition.template.modifierExtension">
      <path value="ImplementationGuide.definition.template.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.definition.template.code">
      

      <extension url="http://hl7.org/fhir/build/StructureDefinition/no-binding">
        <valueBoolean value="true"/> 
      

      </extension> 
      <path value="ImplementationGuide.definition.template.code"/> 
      <short value="Type of template specified"/> 
      <definition value="Type of template specified."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.template.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.source">
      <path value="ImplementationGuide.definition.template.source"/> 
      <short value="The source location for the template"/> 
      <definition value="The source location for the template."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.template.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.scope">
      <path value="ImplementationGuide.definition.template.scope"/> 
      <short value="The scope in which the template applies"/> 
      <definition value="The scope in which the template applies."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.definition.template.scope"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest">
      <path value="ImplementationGuide.manifest"/> 
      <short value="Information about an assembled IG"/> 
      

      <definition value="Information about an assembled implementation guide, created by the publication
       tooling."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.id">
      <path value="ImplementationGuide.manifest.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.extension">
      <path value="ImplementationGuide.manifest.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.modifierExtension">
      <path value="ImplementationGuide.manifest.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.manifest.rendering">
      <path value="ImplementationGuide.manifest.rendering"/> 
      <short value="Location of rendered implementation guide"/> 
      <definition value="A pointer to official web page, PDF or other rendering of the implementation guide."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest.rendering"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="url"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource">
      

      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ManifestResource"/> 
      

      </extension> 
      <path value="ImplementationGuide.manifest.resource"/> 
      <short value="Resource in the implementation guide"/> 
      A resource that is part of the implementation guide. Conformance resources (value set,
       structure definition, capability statements etc.) are obvious candidates for inclusion,
       but any kind of resource can be included as an example resource.

      <definition value="A resource that is part of the implementation guide. Conformance resources (value
       set, structure definition, capability statements etc.) are obvious candidates for
       inclusion, but any kind of resource can be included as an example resource."/> 

      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.resource"/> 
        <min value="1"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.id">
      <path value="ImplementationGuide.manifest.resource.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.extension">
      <path value="ImplementationGuide.manifest.resource.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.modifierExtension">
      <path value="ImplementationGuide.manifest.resource.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.manifest.resource.reference">
      <path value="ImplementationGuide.manifest.resource.reference"/> 
      <short value="Location of the resource"/> 
      <definition value="Where this resource is found."/> 
      Usually this is a relative URL that locates the resource within the implementation guide.
       If you authoring an implementation guide, and will publish it using the FHIR publication
       tooling, use a URI that may point to a resource, or to one of various alternative representations
       (e.g. spreadsheet). The tooling will convert this when it publishes it.

      <comment value="Usually this is a relative URL that locates the resource within the implementation
       guide. If you authoring an implementation guide, and will publish it using the
       FHIR publication tooling, use a URI that may point to a resource, or to one of
       various alternative representations (e.g. spreadsheet). The tooling will convert
       this when it publishes it."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest.resource.reference"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    
      
      
      If true or a reference, indicates the resource is an example instance.  If a reference
       is present, indicates that the example is an example of the specified profile.
      Typically, conformance resources and knowledge resources are directly part of the implementation
       guide, with their normal meaning, and patient linked resources are usually examples. However
       this is not always true.

    <element id="ImplementationGuide.manifest.resource.isExample">
      <path value="ImplementationGuide.manifest.resource.isExample"/> 
      <short value="Is this an example"/> 
      <definition value="If true, indicates the resource is an example instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ImplementationGuide.manifest.resource.isExample"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.profile">
      <path value="ImplementationGuide.manifest.resource.profile"/> 
      <short value="Profile(s) this is an example of"/> 
      <definition value="If present, indicates profile(s) the instance is valid against."/> 
      <comment value="Examples: 

* StructureDefinition -&gt; Any 
* ValueSet -&gt; expansion 
* OperationDefinition -&gt; Parameters 
* Questionnaire -&gt; QuestionnaireResponse."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.resource.profile"/> 
        <min value="0"/> 
        <max value="*"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.relativePath">
      <path value="ImplementationGuide.manifest.resource.relativePath"/> 
      <short value="Relative path for page in IG"/> 
      <definition value="The relative path for primary page for this resource within the IG."/> 
      <comment value="Appending 'rendering' + &quot;/&quot; + this should resolve to the resource page."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest.resource.relativePath"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="url"/> 
      </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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page">
      

      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ManifestPage"/> 
      

      </extension> 
      <path value="ImplementationGuide.manifest.page"/> 
      <short value="HTML page within the parent IG"/> 
      <definition value="Information about a page within the IG."/> 
      Allows validation of hyperlinks from a derived IG to this IG without a local copy of the
       IG.

      <requirements value="Allows validation of hyperlinks from a derived IG to this IG without a local copy
       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.page"/> 
        <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"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.id">
      <path value="ImplementationGuide.manifest.page.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.page.extension">
      <path value="ImplementationGuide.manifest.page.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 manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.manifest.page.modifierExtension">
      <path value="ImplementationGuide.manifest.page.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.

       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 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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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="ImplementationGuide.manifest.page.name">
      <path value="ImplementationGuide.manifest.page.name"/> 
      <short value="HTML page name"/> 
      <definition value="Relative path to the page."/> 
      <comment value="Appending 'rendering' + &quot;/&quot; + this should resolve to the page."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest.page.name"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.title">
      <path value="ImplementationGuide.manifest.page.title"/> 
      <short value="Title of the page, for references"/> 
      <definition value="Label for the page intended for human display."/> 
      <requirements value="Allows generation of labels for markdown-generated hyperlinks."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImplementationGuide.manifest.page.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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.anchor">
      <path value="ImplementationGuide.manifest.page.anchor"/> 
      <short value="Anchor available on the page"/> 
      <definition value="The name of an anchor available on the page."/> 
      Appending 'rendering' + &quot;/&quot; + page.name + &quot;#&quot; + page.anchor should
       resolve to the anchor.
      Allows validation of hyperlinks from a derived IG to this IG without a local copy of the
       IG.

      <comment value="Appending 'rendering' + &quot;/&quot; + page.name + &quot;#&quot; + page.anchor
       should resolve to the anchor."/> 
      <requirements value="Allows validation of hyperlinks from a derived IG to this IG without a local copy

       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.page.anchor"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.image">
      <path value="ImplementationGuide.manifest.image"/> 
      <short value="Image within the IG"/> 
      <definition value="Indicates a relative path to an image that exists within the IG."/> 
      Allows validation of image links from a derived IG to this IG without a local copy of
       the IG.

      <requirements value="Allows validation of image links from a derived IG to this IG without a local copy
       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.image"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.other">
      <path value="ImplementationGuide.manifest.other"/> 
      <short value="Additional linkable file in IG"/> 
      Indicates the relative path of an additional non-page, non-image file that is part of
       the IG - e.g. zip, jar and similar files that could be the target of a hyperlink in a
       derived IG.
      

      <definition value="Indicates the relative path of an additional non-page, non-image file that is part
       of the IG - e.g. zip, jar and similar files that could be the target of a hyperlink
       in a derived IG."/> 
      <requirements value="Allows validation of links from a derived IG to this IG without a local copy of

       the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImplementationGuide.manifest.other"/> 
        <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ImplementationGuide">
      <path value="ImplementationGuide"/> 
      <short value="A set of rules about how FHIR is used"/> 
      A set of rules of how a particular interoperability or standards problem is solved - typically
       through the use of FHIR resources. This resource is used to gather all the parts of an
       implementation guide into a logical whole and to publish a computable definition of all
       the parts.

      <definition value="A set of rules of how a particular interoperability or standards problem is solved
       - typically through the use of FHIR resources. This resource is used to gather
       all the parts of an implementation guide into a logical whole and to publish a
       computable definition of all the parts."/> 

      <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"/> 
        
        

        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <constraint> 
        <key value="ig-2"/> 
        <severity value="error"/> 
        If a resource has a fhirVersion, it must be oe of the versions defined for the Implementation
         Guide

        <human value="If a resource has a fhirVersion, it must be one of the versions defined for the
         Implementation Guide"/> 

        <expression value="definition.resource.fhirVersion.all(%context.fhirVersion contains $this)"/> 
        count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id/@value
        )])=0

        <xpath value="count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id
        /@value)])=0"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="conformance.misc"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.url">
      <path value="ImplementationGuide.url"/> 
      

      <short value="Canonical identifier for this implementation guide, represented as a URI (globally
       unique)"/> 

      <definition value="An absolute URI that is used to identify this implementation guide 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 implementation guide is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the implementation guide 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.

       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this implementation guide is (or will be) published. This URL can be
       the target of a canonical reference. It SHALL remain the same when the implementation
       guide 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). 

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.

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 implementation guide to be referenced by a single globally unique identifier.
       This is required to allow hosting Implementation Guides on multiple different servers,
       and to allow for the editorial process."/> 
      <alias value="url"/> 
      <alias value="authoritative-url"/> 
      <alias value="destination"/> 
      <alias value="identity"/> 
      <min value="1"/> 
      <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="url.matches('([^|#])*')"/> 
        <xpath value="not(exists(@value)) or matches(@value, '([^|#])*')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        
        
      
      

        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.version">
      <path value="ImplementationGuide.version"/> 
      <short value="Business version of the implementation guide"/> 
      The identifier that is used to identify this version of the implementation guide when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the implementation guide 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 implementation guide 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 implementation guide with the format
       [url]|[version].

      <definition value="The identifier that is used to identify this version of the implementation guide
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the implementation guide 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 implementation guide 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 implementation guide
       with the format [url]|[version]. 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="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.versionAlgorithm[x]">
      <path value="ImplementationGuide.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> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.name">
      <path value="ImplementationGuide.name"/> 
      <short value="Name for this implementation guide (computer friendly)"/> 
      A natural language name identifying the implementation guide. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.

      <definition value="A natural language name identifying the implementation guide. 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."/> 
      <requirements value="Support human navigation and 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"/> 
    </element> 
    <element id="ImplementationGuide.title">
      <path value="ImplementationGuide.title"/> 
      <short value="Name for this implementation guide (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the implementation guide."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.status">
      <path value="ImplementationGuide.status"/> 
      <short value="draft | active | retired | unknown"/> 
      

      <definition value="The status of this implementation guide. Enables tracking the life-cycle of the
       content."/> 

      <comment value="Allows filtering of implementation guides that are appropriate for use versus not."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration

      <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|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        
        
      
      

        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.experimental">
      <path value="ImplementationGuide.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      A Boolean value to indicate that this implementation guide is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.

      <definition value="A Boolean value to indicate that this implementation guide is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 

      <comment value="Allows filtering of implementation guides that are appropriate for use versus not."/> 
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level implementation guide.

      <requirements value="Enables experimental content to be developed following the same lifecycle that
       would be used for a production-level implementation guide."/> 

      <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="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.date">
      <path value="ImplementationGuide.date"/> 
      <short value="Date last changed"/> 
      The date  (and optionally time) when the implementation guide 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 implementation guide
       changes.

      <definition value="The date  (and optionally time) when the implementation guide 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
       implementation guide changes."/> 

      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the implementation guide. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.

       may be a secondary representation of the implementation guide. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 

      <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="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.publisher">
      <path value="ImplementationGuide.publisher"/> 
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the implementation
       guide is the organization or individual primarily responsible for the maintenance and
       upkeep of the implementation guide. 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 implementation guide. This item SHOULD be
       populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the implementation guide.  May
       also allow for contact.

      <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 implementation guide."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the implementation guide is the organization or individual primarily responsible
       for the maintenance and upkeep of the implementation guide. 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
       implementation guide. This item SHOULD be populated unless the information is available
       from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the implementation guide.

        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="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.contact">
      <path value="ImplementationGuide.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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.description">
      <path value="ImplementationGuide.description"/> 
      <short value="Natural language description of the implementation guide"/> 
      <definition value="A free text natural language description of the implementation guide from a consumer's
       perspective."/> 
      This description can be used to capture details such as why the implementation guide 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 implementation
       guide 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 implementation
       guide is presumed to be the predominant language in the place the implementation guide
       was created).

      <comment value="This description can be used to capture details such as why the implementation
       guide 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 implementation guide 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 implementation guide is presumed to be the predominant
       language in the place the implementation guide was created)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.useContext">
      <path value="ImplementationGuide.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      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 implementation guide instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.

      <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 implementation guide instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or 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"/> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.jurisdiction">
      <path value="ImplementationGuide.jurisdiction"/> 
      <short value="Intended jurisdiction for implementation guide (if applicable)"/> 
      
      It may be possible for the implementation guide to be used in jurisdictions other than
       those for which it was originally designed or intended.

      <definition value="A legal or geographic region in which the implementation guide is intended to be
       used."/> 
      <comment value="It may be possible for the implementation guide to be used in jurisdictions other

       than those for which it was originally designed or intended."/> 

      <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://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
      
        
        
      

    </element> 
    <element id="ImplementationGuide.copyright">
      <path value="ImplementationGuide.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      A copyright statement relating to the implementation guide and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the implementation
       guide.

      <definition value="A copyright statement relating to the implementation guide and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the implementation guide."/> 
      <comment value="..."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the implementation
       guide 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="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ImplementationGuide.copyrightLabel">
      <path value="ImplementationGuide.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 resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software

       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <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"/> 
    </element> 
    <element id="ImplementationGuide.packageId">
      <path value="ImplementationGuide.packageId"/> 
      <short value="NPM Package name for IG"/> 
      <definition value="The NPM package name for this Implementation Guide, used in the NPM package distribution,
       which is the primary mechanism by which FHIR based tooling manages IG dependencies. This
       value must be globally unique, and should be assigned with care.
      Many (if not all) IG publishing tools will require that this element be present. For implementation
       guides published through HL7 or the FHIR foundation, the FHIR product director assigns
       package IDs.

       which is the primary mechanism by which FHIR based tooling manages IG dependencies.
       This value must be globally unique, and should be assigned with care."/> 
      <comment value="Many (if not all) IG publishing tools will require that this element be present.

       For implementation guides published through HL7 or the FHIR foundation, the FHIR
       product director assigns package IDs."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.license">
      <path value="ImplementationGuide.license"/> 
      <short value="SPDX license code for this IG (or not-open-source)"/> 
      The license that applies to this Implementation Guide, using an SPDX license code, or
       'not-open-source'.

      <definition value="The license that applies to this Implementation Guide, using an SPDX license code,
       or 'not-open-source'."/> 

      <min value="0"/> 
      <max value="1"/> 
      <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="SPDXLicense"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers,
         or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed
         to be used (https://spdx.org/licenses/).
        

         or 'not-open-source'). The binding is required but new SPDX license Identifiers
         are allowed to be used (https://spdx.org/licenses/)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.fhirVersion">
      <path value="ImplementationGuide.fhirVersion"/> 
      <short value="FHIR Version(s) this Implementation Guide targets"/> 
      The version(s) of the FHIR specification that this ImplementationGuide targets - e.g.
       describes how to use. The value of this element is the formal version of the specification,
       without the revision number, e.g. [publication].[major].[minor], which is 4.3.0.
       for this version.
      Most implementation guides target a single version - e.g. they describe how to use a particular
       version, and the profiles and examples etc are valid for that version. But some implementation
       guides describe how to use multiple different versions of FHIR to solve the same problem,
       or in concert with each other. Typically, the requirement to support multiple versions
       arises as implementation matures and different implementation communities are stuck at
       different versions by regulation or market dynamics.

      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets
       - e.g. describes how to use. The value of this element is the formal version of
       the specification, without the revision number, e.g. [publication].[major].[minor],
       which is 4.6.0. for this version."/> 
      <comment value="Most implementation guides target a single version - e.g. they describe how to

       use a particular version, and the profiles and examples etc are valid for that
       version. But some implementation guides describe how to use multiple different
       versions of FHIR to solve the same problem, or in concert with each other. Typically,
       the requirement to support multiple versions arises as implementation matures and
       different implementation communities are stuck at different versions by regulation
       or market dynamics."/> 

      <min value="1"/> 
      <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="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.dependsOn">
      <path value="ImplementationGuide.dependsOn"/> 
      <short value="Another Implementation guide this depends on"/> 
      Another implementation guide that this implementation depends on. Typically, an implementation
       guide uses value sets, profiles etc.defined in other implementation guides.

      <definition value="Another implementation guide that this implementation depends on. Typically, an
       implementation guide uses value sets, profiles etc.defined in other implementation
       guides."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.uri">
      <path value="ImplementationGuide.dependsOn.uri"/> 
      <short value="Identity of the IG that this depends on"/> 
      <definition value="A canonical reference to the Implementation guide for the dependency."/> 
      Usually, A canonical reference to the implementation guide is the same as the master location
       at which the implementation guide is published.

      <comment value="Usually, A canonical reference to the implementation guide is the same as the master
       location at which the implementation guide is published."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.packageId">
      <path value="ImplementationGuide.dependsOn.packageId"/> 
      <short value="NPM Package name for IG this depends on"/> 
      <definition value="The NPM package name for the Implementation Guide that this IG depends on."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.version">
      <path value="ImplementationGuide.dependsOn.version"/> 
      <short value="Version of the IG"/> 
      The version of the IG that is depended on, when the correct version is required to understand
       the IG correctly.

      <definition value="The version of the IG that is depended on, when the correct version is required
       to understand the IG correctly."/> 

      <comment value="This follows the syntax of the NPM packaging version field - see [[reference]]."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.dependsOn.reason">
      <path value="ImplementationGuide.dependsOn.reason"/> 
      <short value="Why dependency exists"/> 
      <definition value="A description explaining the nature of the dependency on the listed IG."/> 
      <comment value="This doesn't need to enumerate every resource used, but should give some sense
       of why the dependency exists.  It will be used in the rendered list of dependencies"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.global">
      <path value="ImplementationGuide.global"/> 
      <short value="Profiles that apply globally"/> 
      A set of profiles that all resources covered by this implementation guide must conform
       to.
      See [Default Profiles](implementationguide.html#default) for a discussion of which resources
       are 'covered' by an implementation guide.

      <definition value="A set of profiles that all resources covered by this implementation guide must
       conform to."/> 
      <comment value="See [Default Profiles](implementationguide.html#default) for a discussion of which

       resources are 'covered' by an implementation guide."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.global.type">
      <path value="ImplementationGuide.global.type"/> 
      <short value="Type this profile applies to"/> 
      <definition value="The type of resource that all instances must conform to."/> 
      The type must match that of the profile that is referred to but is made explicit here
       as a denormalization so that a system processing the implementation guide resource knows
       which resources the profile applies to even if the profile itself is not available.

      <comment value="The type must match that of the profile that is referred to but is made explicit
       here as a denormalization so that a system processing the implementation guide
       resource knows which resources the profile applies to even if the profile itself
       is not available."/> 

      <min value="1"/> 
      <max value="1"/> 
      <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="ResourceType"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="One of the resource types defined as part of this version of FHIR."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.global.profile">
      <path value="ImplementationGuide.global.profile"/> 
      <short value="Profile that all resources must conform to"/> 
      <definition value="A reference to the profile that all instances must conform to."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.definition">
      <path value="ImplementationGuide.definition"/> 
      <short value="Information needed to build the IG"/> 
      
      Principally, this consists of information abuot source resource and file locations, and
       build parameters and templates.

      <definition value="The information needed by an IG publisher tool to publish the whole implementation
       guide."/> 
      <comment value="Principally, this consists of information abuot source resource and file locations,

       and build parameters and templates."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ig-1"/> 
        <severity value="error"/> 
        <human value="If a resource has a groupingId, it must refer to a grouping defined in the Implementation
         Guide"/> 
        <expression value="resource.groupingId.all(%context.grouping.id contains $this)"/> 
        

        <xpath value="count(for $id in (f:resource/f:groupingId) return $id[not(ancestor::f:grouping/@id=$id/@value
        )])=0"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.grouping">
      <path value="ImplementationGuide.definition.grouping"/> 
      <short value="Grouping used to present related resources in the IG"/> 
      <definition value="A logical group of resources. Logical groups can be used when building pages."/> 
      Groupings are arbitrary sub-divisions of content. Typically, they are used to help build
       Table of Contents automatically.

      <comment value="Groupings are arbitrary sub-divisions of content. Typically, they are used to help
       build Table of Contents automatically."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.name">
      <path value="ImplementationGuide.definition.grouping.name"/> 
      <short value="Descriptive name for the package"/> 
      The human-readable title to display for the package of resources when rendering the implementation
       guide.

      <definition value="The human-readable title to display for the package of resources when rendering
       the implementation guide."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.grouping.description">
      <path value="ImplementationGuide.definition.grouping.description"/> 
      <short value="Human readable text describing the package"/> 
      <definition value="Human readable text describing the package."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource">
      <path value="ImplementationGuide.definition.resource"/> 
      <short value="Resource in the implementation guide"/> 
      A resource that is part of the implementation guide. Conformance resources (value set,
       structure definition, capability statements etc.) are obvious candidates for inclusion,
       but any kind of resource can be included as an example resource.
      

      <definition value="A resource that is part of the implementation guide. Conformance resources (value
       set, structure definition, capability statements etc.) are obvious candidates for
       inclusion, but any kind of resource can be included as an example resource."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.reference">
      <path value="ImplementationGuide.definition.resource.reference"/> 
      <short value="Location of the resource"/> 
      <definition value="Where this resource is found."/> 
      Usually this is a relative URL that locates the resource within the implementation guide.
       If you authoring an implementation guide, and will publish it using the FHIR publication
       tooling, use a URI that may point to a resource, or to one of various alternative representations
       (e.g. spreadsheet). The tooling will convert this when it publishes it.

      <comment value="Usually this is a relative URL that locates the resource within the implementation
       guide. If you authoring an implementation guide, and will publish it using the
       FHIR publication tooling, use a URI that may point to a resource, or to one of
       various alternative representations (e.g. spreadsheet). The tooling will convert
       this when it publishes it."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.fhirVersion">
      <path value="ImplementationGuide.definition.resource.fhirVersion"/> 
      <short value="Versions this applies to (if different to IG)"/> 
      Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions are
       specified, the resource is assumed to apply to all the versions stated in ImplementationGuide.fhirVe
      rsion.
      The resource SHALL be valid against all the versions it is specified to apply to. If the
       resource referred to is a StructureDefinition, the fhirVersion stated in the StructureDefinition
       cannot disagree with the version specified here; the specified versions SHALL include
       the version specified by the StructureDefinition, and may include additional versions
       using the [applicable-version](extension-structuredefinition-applicable-version.html)
       extension.

      <definition value="Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions
       are specified, the resource is assumed to apply to all the versions stated in ImplementationG
      uide.fhirVersion."/> 
      <comment value="The resource SHALL be valid against all the versions it is specified to apply to.

       If the resource referred to is a StructureDefinition, the fhirVersion stated in
       the StructureDefinition cannot disagree with the version specified here; the specified
       versions SHALL include the version specified by the StructureDefinition, and may
       include additional versions using the [applicable-version](extension-structuredefinition-appl
      icable-version.html) extension."/> 

      <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="FHIRVersion"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="All published FHIR Versions."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.resource.name">
      <path value="ImplementationGuide.definition.resource.name"/> 
      
      A human assigned name for the resource. All resources SHOULD have a name, but the name
       may be extracted from the resource (e.g. ValueSet.name).

      <short value="Human readable name for the resource"/> 
      <definition value="A human assigned name for the resource. All resources SHOULD have a name, but the
       name may be extracted from the resource (e.g. ValueSet.name)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.description">
      <path value="ImplementationGuide.definition.resource.description"/> 
      <short value="Reason why included in guide"/> 
      
      This is mostly used with examples to explain why it is present (though they can have extensive
       comments in the examples).

      <definition value="A description of the reason that a resource has been included in the implementation
       guide."/> 
      <comment value="This is mostly used with examples to explain why it is present (though they can

       have extensive comments in the examples)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      
      
      If true or a reference, indicates the resource is an example instance.  If a reference
       is present, indicates that the example is an example of the specified profile.

    <element id="ImplementationGuide.definition.resource.isExample">
      <path value="ImplementationGuide.definition.resource.isExample"/> 
      <short value="Is this an example"/> 
      <definition value="If true, indicates the resource is an example instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.resource.profile">
      <path value="ImplementationGuide.definition.resource.profile"/> 
      <short value="Profile(s) this is an example of"/> 
      <definition value="If present, indicates profile(s) the instance is valid against."/> 
      <comment value="Examples: 

* StructureDefinition -&gt; Any 
* ValueSet -&gt; expansion 
* OperationDefinition -&gt; Parameters 
* Questionnaire -&gt; QuestionnaireResponse."/> 
      <min value="0"/> 
      
      
        
      

      <max value="*"/> 
      <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="ImplementationGuide.definition.resource.groupingId">
      <path value="ImplementationGuide.definition.resource.groupingId"/> 
      <short value="Grouping this is part of"/> 
      <definition value="Reference to the id of the grouping this resource appears in."/> 
      

      <comment value="This must correspond to a group.id element within this implementation guide."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page">
      <path value="ImplementationGuide.definition.page"/> 
      <short value="Page/Section in the Guide"/> 
      A page / section in the implementation guide. The root page is the implementation guide
       home page.
      Pages automatically become sections if they have sub-pages. By convention, the home page
       is called index.html.

      <definition value="A page / section in the implementation guide. The root page is the implementation
       guide home page."/> 
      <comment value="Pages automatically become sections if they have sub-pages. By convention, the

       home page is called index.html."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ig-3"/> 
        <severity value="error"/> 
        <human value="Source must be absent if 'generated' is generated"/> 
        <expression value="generated='generated' implies source.empty()"/> 
        <xpath value="not(f:generated/@value='generated') or not(exists(f:source))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      
      
      
      The publishing tool will autogenerate source for list (source = n/a) and inject included
       implementations for include (source = uri of guide to include).
      

    <element id="ImplementationGuide.definition.page.source[x]">
      <path value="ImplementationGuide.definition.page.source[x]"/> 
      <short value="Source for page"/> 
      <definition value="Indicates the URL or the actual content to provide for the page."/> 
      <comment value="If absent and the page isn't a generated page, this may be inferred from the page
       name by checking input locations.  String is used for XHTML content - sent as an
       escaped string.  FHIR tooling can't support 'direct' XHTML anywhere other than
       in narrative."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        
        

        <code value="string"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.name">
      <path value="ImplementationGuide.definition.page.name"/> 
      <short value="Name of the page when published"/> 
      <definition value="The url by which the page should be known when published."/> 
      <comment value="This SHALL be a local reference, expressed with respect to the root of the IG output
       folder.  No suffix is required.  If no suffix is specified, .html will be appended."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="url"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.title">
      <path value="ImplementationGuide.definition.page.title"/> 
      <short value="Short title shown for navigational assistance"/> 
      A short title used to represent this page in navigational structures such as table of
       contents, bread crumbs, etc.

      <definition value="A short title used to represent this page in navigational structures such as table
       of contents, bread crumbs, etc."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.page.generation">
      <path value="ImplementationGuide.definition.page.generation"/> 
      <short value="html | markdown | xml | generated"/> 
      <definition value="A code that indicates how the page is generated."/> 
      <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="GuidePageGeneration"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A code that indicates how the page is generated."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|5.0.0-ballot"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.page.page">
      <path value="ImplementationGuide.definition.page.page"/> 
      <short value="Nested Pages / Sections"/> 
      <definition value="Nested Pages/Sections under this page."/> 
      

      <comment value="The implementation guide breadcrumbs may be generated from this structure."/> 
      <min value="0"/> 
      <max value="*"/> 
      <contentReference value="#ImplementationGuide.definition.page"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.parameter">
      <path value="ImplementationGuide.definition.parameter"/> 
      <short value="Defines how IG is built by tools"/> 
      

      <definition value="A set of parameters that defines how the implementation guide is built. The parameters
       are defined by the relevant tools that build the implementation guides."/> 
      <comment value="see [confluence](https://confluence.hl7.org/display/FHIR/Implementation+Guide+Parameters)

       for the parameters defined by the HL7 IG publisher."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.code">
      <path value="ImplementationGuide.definition.parameter.code"/> 
      apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links
       | generate-xml | generate-json | generate-turtle | html-template
      apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links
       | generate-xml | generate-json | generate-turtle | html-template.

      <short value="Code that identifies parameter"/> 
      <definition value="A tool-specific code that defines the parameter."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        

        <code value="Coding"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        
          
        
        
        
        

        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/guide-parameter-code"/> 
      </binding> 
    </element> 
    <element id="ImplementationGuide.definition.parameter.value">
      <path value="ImplementationGuide.definition.parameter.value"/> 
      <short value="Value for named type"/> 
      <definition value="Value for named type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template">
      <path value="ImplementationGuide.definition.template"/> 
      <short value="A template for building resources"/> 
      <definition value="A template for building resources."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.code">
      

      <extension url="http://hl7.org/fhir/build/StructureDefinition/no-binding">
        <valueBoolean value="true"/> 
      

      </extension> 
      <path value="ImplementationGuide.definition.template.code"/> 
      <short value="Type of template specified"/> 
      <definition value="Type of template specified."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.source">
      <path value="ImplementationGuide.definition.template.source"/> 
      <short value="The source location for the template"/> 
      <definition value="The source location for the template."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.definition.template.scope">
      <path value="ImplementationGuide.definition.template.scope"/> 
      <short value="The scope in which the template applies"/> 
      <definition value="The scope in which the template applies."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest">
      <path value="ImplementationGuide.manifest"/> 
      <short value="Information about an assembled IG"/> 
      

      <definition value="Information about an assembled implementation guide, created by the publication
       tooling."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.rendering">
      <path value="ImplementationGuide.manifest.rendering"/> 
      <short value="Location of rendered implementation guide"/> 
      <definition value="A pointer to official web page, PDF or other rendering of the implementation guide."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="url"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource">
      

      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ManifestResource"/> 
      

      </extension> 
      <path value="ImplementationGuide.manifest.resource"/> 
      <short value="Resource in the implementation guide"/> 
      A resource that is part of the implementation guide. Conformance resources (value set,
       structure definition, capability statements etc.) are obvious candidates for inclusion,
       but any kind of resource can be included as an example resource.

      <definition value="A resource that is part of the implementation guide. Conformance resources (value
       set, structure definition, capability statements etc.) are obvious candidates for
       inclusion, but any kind of resource can be included as an example resource."/> 

      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.reference">
      <path value="ImplementationGuide.manifest.resource.reference"/> 
      <short value="Location of the resource"/> 
      <definition value="Where this resource is found."/> 
      Usually this is a relative URL that locates the resource within the implementation guide.
       If you authoring an implementation guide, and will publish it using the FHIR publication
       tooling, use a URI that may point to a resource, or to one of various alternative representations
       (e.g. spreadsheet). The tooling will convert this when it publishes it.

      <comment value="Usually this is a relative URL that locates the resource within the implementation
       guide. If you authoring an implementation guide, and will publish it using the
       FHIR publication tooling, use a URI that may point to a resource, or to one of
       various alternative representations (e.g. spreadsheet). The tooling will convert
       this when it publishes it."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    
      
      
      If true or a reference, indicates the resource is an example instance.  If a reference
       is present, indicates that the example is an example of the specified profile.
      Typically, conformance resources and knowledge resources are directly part of the implementation
       guide, with their normal meaning, and patient linked resources are usually examples. However
       this is not always true.

    <element id="ImplementationGuide.manifest.resource.isExample">
      <path value="ImplementationGuide.manifest.resource.isExample"/> 
      <short value="Is this an example"/> 
      <definition value="If true, indicates the resource is an example instance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.resource.profile">
      <path value="ImplementationGuide.manifest.resource.profile"/> 
      <short value="Profile(s) this is an example of"/> 
      <definition value="If present, indicates profile(s) the instance is valid against."/> 
      <comment value="Examples: 

* StructureDefinition -&gt; Any 
* ValueSet -&gt; expansion 
* OperationDefinition -&gt; Parameters 
* Questionnaire -&gt; QuestionnaireResponse."/> 
      <min value="0"/> 
      <max value="*"/> 
      <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="ImplementationGuide.manifest.resource.relativePath">
      <path value="ImplementationGuide.manifest.resource.relativePath"/> 
      <short value="Relative path for page in IG"/> 
      <definition value="The relative path for primary page for this resource within the IG."/> 
      <comment value="Appending 'rendering' + &quot;/&quot; + this should resolve to the resource page."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="url"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page">
      

      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ManifestPage"/> 
      

      </extension> 
      <path value="ImplementationGuide.manifest.page"/> 
      <short value="HTML page within the parent IG"/> 
      <definition value="Information about a page within the IG."/> 
      Allows validation of hyperlinks from a derived IG to this IG without a local copy of the
       IG.

      <requirements value="Allows validation of hyperlinks from a derived IG to this IG without a local copy
       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.name">
      <path value="ImplementationGuide.manifest.page.name"/> 
      <short value="HTML page name"/> 
      <definition value="Relative path to the page."/> 
      <comment value="Appending 'rendering' + &quot;/&quot; + this should resolve to the page."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.title">
      <path value="ImplementationGuide.manifest.page.title"/> 
      <short value="Title of the page, for references"/> 
      <definition value="Label for the page intended for human display."/> 
      <requirements value="Allows generation of labels for markdown-generated hyperlinks."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.page.anchor">
      <path value="ImplementationGuide.manifest.page.anchor"/> 
      <short value="Anchor available on the page"/> 
      <definition value="The name of an anchor available on the page."/> 
      Appending 'rendering' + &quot;/&quot; + page.name + &quot;#&quot; + page.anchor should
       resolve to the anchor.
      Allows validation of hyperlinks from a derived IG to this IG without a local copy of the
       IG.

      <comment value="Appending 'rendering' + &quot;/&quot; + page.name + &quot;#&quot; + page.anchor
       should resolve to the anchor."/> 
      <requirements value="Allows validation of hyperlinks from a derived IG to this IG without a local copy

       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.image">
      <path value="ImplementationGuide.manifest.image"/> 
      <short value="Image within the IG"/> 
      <definition value="Indicates a relative path to an image that exists within the IG."/> 
      Allows validation of image links from a derived IG to this IG without a local copy of
       the IG.

      <requirements value="Allows validation of image links from a derived IG to this IG without a local copy
       of the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImplementationGuide.manifest.other">
      <path value="ImplementationGuide.manifest.other"/> 
      <short value="Additional linkable file in IG"/> 
      Indicates the relative path of an additional non-page, non-image file that is part of
       the IG - e.g. zip, jar and similar files that could be the target of a hyperlink in a
       derived IG.
      

      <definition value="Indicates the relative path of an additional non-page, non-image file that is part
       of the IG - e.g. zip, jar and similar files that could be the target of a hyperlink
       in a derived IG."/> 
      <requirements value="Allows validation of links from a derived IG to this IG without a local copy of

       the IG."/> 

      <min value="0"/> 
      <max value="*"/> 
      <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.