Release 5 Preview #3

Citation.profile.json

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

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

StructureDefinition for citation

{
  "resourceType" : "StructureDefinition",
  "id" : "Citation",
  "meta" : {
    "lastUpdated" : "2020-09-29T19:10:12.256+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "business"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/Citation",
  "version" : "4.5.0",
  "name" : "Citation",
  "status" : "draft",
  "date" : "2020-09-29T19:10:12+00:00",
  "publisher" : "Health Level Seven International (Clinical Decision Support)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
    }]
  }],
  "description" : "The Citation.",
  "fhirVersion" : "4.5.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "objimpl",
    "uri" : "http://hl7.org/fhir/object-implementation",
    "name" : "Object Implementation Information"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Citation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MetadataResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "Citation",
      "path" : "Citation",
      "short" : "A Citation",
      "definition" : "The Citation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "cnl-0",
        "severity" : "warning",
        "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
        "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
        "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')",
        "source" : "http://hl7.org/fhir/StructureDefinition/Citation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition"
      }]
    },
    {
      "id" : "Citation.id",
      "path" : "Citation.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.meta",
      "path" : "Citation.meta",
      "short" : "Metadata about the resource",
      "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.implicitRules",
      "path" : "Citation.implicitRules",
      "short" : "A set of rules under which this content was created",
      "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "Citation.language",
      "path" : "Citation.language",
      "short" : "Language of the resource content",
      "definition" : "The base language in which the resource is written.",
      "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.text",
      "path" : "Citation.text",
      "short" : "Text summary of the resource, for human interpretation",
      "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "comment" : "Contained resources do not have 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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "Citation.contained",
      "path" : "Citation.contained",
      "short" : "Contained, inline Resources",
      "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope.",
      "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.extension",
      "path" : "Citation.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the 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" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.modifierExtension",
      "path" : "Citation.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.url",
      "path" : "Citation.url",
      "short" : "Canonical identifier for this citation, represented as a globally unique URI",
      "definition" : "An absolute URI that is used to identify this citation 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 summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
      "comment" : "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.",
      "requirements" : "Allows the citation to be referenced by a single globally unique identifier.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.url",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.url"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "Citation.status",
      "path" : "Citation.status",
      "short" : "draft | active | retired | unknown",
      "definition" : "The status of this summary. Enables tracking the life-cycle of the content.",
      "comment" : "Allows filtering of summarys s that are appropriate for use versus not.",
      "requirements" : "Allows filtering of citations that are appropriate for use versus not.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : true,
      "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublicationStatus"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The lifecycle status of an artifact.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.5.0"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "Citation.useContext",
      "path" : "Citation.useContext",
      "short" : "Use context",
      "definition" : "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 citation instances.",
      "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
      "requirements" : "Assist in searching for appropriate content.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.useContext",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "UsageContext"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.useContext"
      }]
    },
    {
      "id" : "Citation.identifier",
      "path" : "Citation.identifier",
      "short" : "May include DOI, PMID, PMCID, etc.",
      "definition" : "A formal identifier that is used to identify this citation when it is represented in other formats, or referenced in a specification, model, design or an instance.",
      "comment" : "May include DOI, PMID, PMCID, etc. This element will contain unique identifiers that support de-duplication of citations. This identifier can be valid for only one citation resource.",
      "requirements" : "Allows externally provided and/or usable identifiers to be associated with this citation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "objimpl",
        "map" : "no-gen-base"
      }]
    },
    {
      "id" : "Citation.relatedIdentifier",
      "path" : "Citation.relatedIdentifier",
      "short" : "May include trial registry identifiers",
      "definition" : "A formal identifier that is used to identify things closely related to this citation.",
      "comment" : "May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This identifier can be valid for multiple citation resources.",
      "requirements" : "Allows externally provided and/or usable identifiers to be associated with this citation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.relatedIdentifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.summary",
      "path" : "Citation.summary",
      "short" : "A human-readable display of the citation",
      "definition" : "A human-readable display of the citation.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.summary",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.summary.id",
      "path" : "Citation.summary.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.summary.extension",
      "path" : "Citation.summary.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.summary.modifierExtension",
      "path" : "Citation.summary.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.summary.style",
      "path" : "Citation.summary.style",
      "short" : "Format for display of the citation",
      "definition" : "Format for display of the citation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.summary.style",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationSummaryStyle"
        }],
        "strength" : "extensible",
        "description" : "The format for display of the citation.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-summary-style"
      }
    },
    {
      "id" : "Citation.summary.text",
      "path" : "Citation.summary.text",
      "short" : "The human-readable display of the citation",
      "definition" : "The human-readable display of the citation.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.summary.text",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.dateCited",
      "path" : "Citation.dateCited",
      "short" : "Date Cited",
      "definition" : "Date Cited.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.dateCited",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.variantCitation",
      "path" : "Citation.variantCitation",
      "short" : "Variant citation",
      "definition" : "Variant citation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.variantCitation",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.variantCitation.id",
      "path" : "Citation.variantCitation.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.variantCitation.extension",
      "path" : "Citation.variantCitation.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.variantCitation.modifierExtension",
      "path" : "Citation.variantCitation.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.variantCitation.type",
      "path" : "Citation.variantCitation.type",
      "short" : "Used to describe the reason for the variant citation, such as version or subpart specification",
      "definition" : "Used to describe the reason for the variant citation, such as version or subpart specification.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.variantCitation.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationVariantType"
        }],
        "strength" : "extensible",
        "description" : "To describe the reason for the variant citation, such as version number or subpart specification.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-variant-type"
      }
    },
    {
      "id" : "Citation.variantCitation.value",
      "path" : "Citation.variantCitation.value",
      "short" : "Used to describe the specific variation, such as version number or subpart specification",
      "definition" : "Used to describe the specific variation, such as version number or subpart specification.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.variantCitation.value",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.variantCitation.baseCitation",
      "path" : "Citation.variantCitation.baseCitation",
      "short" : "Base citation",
      "definition" : "Base citation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.variantCitation.baseCitation",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publishingModel",
      "path" : "Citation.publishingModel",
      "short" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic",
      "definition" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publishingModel",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishingModelType"
        }],
        "strength" : "extensible",
        "description" : "To identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publishing-model-type"
      }
    },
    {
      "id" : "Citation.journal",
      "path" : "Citation.journal",
      "short" : "Contains identifiers and classifiers for the journal cited",
      "definition" : "Contains identifiers and classifiers for the journal cited.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.id",
      "path" : "Citation.journal.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.extension",
      "path" : "Citation.journal.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.modifierExtension",
      "path" : "Citation.journal.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.journal.identifier",
      "path" : "Citation.journal.identifier",
      "short" : "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID",
      "definition" : "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.journal.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.country",
      "path" : "Citation.journal.country",
      "short" : "Place of publication of the journal",
      "definition" : "Place of publication of the journal.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.country",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue",
      "path" : "Citation.journal.journalIssue",
      "short" : "The specific issue in which the cited article resides",
      "definition" : "The specific issue in which the cited article resides.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.id",
      "path" : "Citation.journal.journalIssue.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.extension",
      "path" : "Citation.journal.journalIssue.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.modifierExtension",
      "path" : "Citation.journal.journalIssue.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.citedMedium",
      "path" : "Citation.journal.journalIssue.citedMedium",
      "short" : "NLM codes Internet or Print",
      "definition" : "NLM codes Internet or Print.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.citedMedium",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "JournalIssueMedium"
        }],
        "strength" : "extensible",
        "description" : "NLM codes Internet or Print.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/journal-issue-medium"
      }
    },
    {
      "id" : "Citation.journal.journalIssue.volume",
      "path" : "Citation.journal.journalIssue.volume",
      "short" : "Volume number of journal in which the article is published",
      "definition" : "Volume number of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.volume",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.issue",
      "path" : "Citation.journal.journalIssue.issue",
      "short" : "Issue, part or supplement of journal in which the article is published",
      "definition" : "Issue, part or supplement of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.issue",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate",
      "path" : "Citation.journal.journalIssue.publicationDate",
      "short" : "Date on which the issue of the journal was published",
      "definition" : "Date on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.id",
      "path" : "Citation.journal.journalIssue.publicationDate.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.extension",
      "path" : "Citation.journal.journalIssue.publicationDate.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.modifierExtension",
      "path" : "Citation.journal.journalIssue.publicationDate.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.date",
      "path" : "Citation.journal.journalIssue.publicationDate.date",
      "short" : "Defining the date on which the issue of the joutnal was published",
      "definition" : "Defining the date on which the issue of the joutnal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.year",
      "path" : "Citation.journal.journalIssue.publicationDate.year",
      "short" : "Year on which the issue of the journal was published",
      "definition" : "Year on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.year",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.month",
      "path" : "Citation.journal.journalIssue.publicationDate.month",
      "short" : "Month on which the issue of the journal was published",
      "definition" : "Month on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.month",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.day",
      "path" : "Citation.journal.journalIssue.publicationDate.day",
      "short" : "Day on which the issue of the journal was published",
      "definition" : "Day on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.day",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.season",
      "path" : "Citation.journal.journalIssue.publicationDate.season",
      "short" : "Season on which the issue of the jornal was published",
      "definition" : "Spring, Summer, Fall/Autumn, Winter.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.season",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.text",
      "path" : "Citation.journal.journalIssue.publicationDate.text",
      "short" : "Text representation of the date of which the issue of the journal was published",
      "definition" : "Text representation of the date of which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.journalIssue.publicationDate.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.journal.title",
      "path" : "Citation.journal.title",
      "short" : "Journal title",
      "definition" : "Journal title.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.journal.title",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo",
      "path" : "Citation.publicationInfo",
      "short" : "Citation detail for sources other than journals",
      "definition" : "Citation detail for sources other than journals such as books and databases.",
      "comment" : "Website listings are a form of databases.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.id",
      "path" : "Citation.publicationInfo.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.publicationInfo.extension",
      "path" : "Citation.publicationInfo.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.publicationInfo.modifierExtension",
      "path" : "Citation.publicationInfo.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn",
      "path" : "Citation.publicationInfo.publishedIn",
      "short" : "The collection the cited article is published in",
      "definition" : "The collection the cited article is published in.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.id",
      "path" : "Citation.publicationInfo.publishedIn.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.extension",
      "path" : "Citation.publicationInfo.publishedIn.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.modifierExtension",
      "path" : "Citation.publicationInfo.publishedIn.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.type",
      "path" : "Citation.publicationInfo.publishedIn.type",
      "short" : "Database or book",
      "definition" : "Database or book.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishedInType"
        }],
        "strength" : "extensible",
        "description" : "The type of publication such as book, database, or journal.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/published-in-type"
      }
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.identifier",
      "path" : "Citation.publicationInfo.publishedIn.identifier",
      "short" : "Identifiers may include ISBN for books",
      "definition" : "Identifiers may include ISBN (International Standard Book Number) for books.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.name",
      "path" : "Citation.publicationInfo.publishedIn.name",
      "short" : "Name of the database or title of the book",
      "definition" : "Name of the database or title of the book.",
      "comment" : "ClinicalTrials.gov is a name of a database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.name",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.publisher",
      "path" : "Citation.publicationInfo.publishedIn.publisher",
      "short" : "Name of the publisher",
      "definition" : "Name of the publisher.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.publisher",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.publisherLocation",
      "path" : "Citation.publicationInfo.publishedIn.publisherLocation",
      "short" : "Geographic location of the publisher",
      "definition" : "Geographic location of the publisher.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.publisherLocation",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.startDate",
      "path" : "Citation.publicationInfo.publishedIn.startDate",
      "short" : "When the database was first available or when the book was published",
      "definition" : "When the database was first available or when the book was published.",
      "comment" : "Date can be specific to database version or book edition if specified in the name.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.publishedIn.startDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.entryDate",
      "path" : "Citation.publicationInfo.entryDate",
      "short" : "The date the article was added to the database",
      "definition" : "The date the article was added to the database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.entryDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.revisionDate",
      "path" : "Citation.publicationInfo.revisionDate",
      "short" : "The date the article was last revised or updated in the database",
      "definition" : "The date the article was last revised or updated in the database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.revisionDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.publicationInfo.pageCount",
      "path" : "Citation.publicationInfo.pageCount",
      "short" : "Number of pages or screens",
      "definition" : "Actual or Approximate number of pages or screens.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.publicationInfo.pageCount",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.articleTitle",
      "path" : "Citation.articleTitle",
      "short" : "Full title of the article",
      "definition" : "Full title of the article.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.articleTitle",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Citation.alternativeTitle",
      "path" : "Citation.alternativeTitle",
      "short" : "Used for variant titles, such as translations",
      "definition" : "Used for variant titles, such as translations.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.alternativeTitle",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeTitle.id",
      "path" : "Citation.alternativeTitle.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeTitle.extension",
      "path" : "Citation.alternativeTitle.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeTitle.modifierExtension",
      "path" : "Citation.alternativeTitle.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeTitle.type",
      "path" : "Citation.alternativeTitle.type",
      "short" : "Used to express the reason and specific aspect for the variant title, such as language",
      "definition" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeTitle.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AlternativeTitleType"
        }],
        "strength" : "extensible",
        "description" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/alternative-title-type"
      }
    },
    {
      "id" : "Citation.alternativeTitle.language",
      "path" : "Citation.alternativeTitle.language",
      "short" : "Used to express the specific language",
      "definition" : "Used to express the specific language.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeTitle.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeTitle.title",
      "path" : "Citation.alternativeTitle.title",
      "short" : "Full variant title of the article",
      "definition" : "Full variant title of the article.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeTitle.title",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.pagination",
      "path" : "Citation.pagination",
      "short" : "Indicates the inclusive pages for the article cited",
      "definition" : "Indicates the inclusive pages for the article cited.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.pagination",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.pagination.id",
      "path" : "Citation.pagination.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.pagination.extension",
      "path" : "Citation.pagination.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.pagination.modifierExtension",
      "path" : "Citation.pagination.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.pagination.pageString",
      "path" : "Citation.pagination.pageString",
      "short" : "Used for full display of pagination",
      "definition" : "Used for full display of pagination.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.pagination.pageString",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.pagination.firstPage",
      "path" : "Citation.pagination.firstPage",
      "short" : "Used for isolated representation of first page",
      "definition" : "Used for isolated representation of first page.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.pagination.firstPage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.pagination.lastPage",
      "path" : "Citation.pagination.lastPage",
      "short" : "Used for isolated representation of last page",
      "definition" : "Used for isolated representation of last page.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.pagination.lastPage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.articleUrl",
      "path" : "Citation.articleUrl",
      "short" : "Used for any URL for the article cited",
      "definition" : "Used for any URL for the article cited.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.articleUrl",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.articleUrl.id",
      "path" : "Citation.articleUrl.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.articleUrl.extension",
      "path" : "Citation.articleUrl.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.articleUrl.modifierExtension",
      "path" : "Citation.articleUrl.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.articleUrl.type",
      "path" : "Citation.articleUrl.type",
      "short" : "Code the reason for different URLs, eg abstract and full-text",
      "definition" : "Code the reason for different URLs, eg abstract and full-text.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.articleUrl.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ArticleUrlType"
        }],
        "strength" : "extensible",
        "description" : "Code the reason for different URLs, eg abstract and full-text.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/article-url-type"
      }
    },
    {
      "id" : "Citation.articleUrl.url",
      "path" : "Citation.articleUrl.url",
      "short" : "The specific URL",
      "definition" : "The specific URL.",
      "comment" : "Persistent URLs, like doi, are preferred.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.articleUrl.url",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.abstract",
      "path" : "Citation.abstract",
      "short" : "Abstract text",
      "definition" : "Abstract text, as published; may include structured labels.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.abstract",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.abstractCopyright",
      "path" : "Citation.abstractCopyright",
      "short" : "Abstract copyright",
      "definition" : "Copyright information for the abstract text.",
      "requirements" : "Serves a legal notice regarding the intellectual property content of the material referenced.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.abstractCopyright",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeAbstract",
      "path" : "Citation.alternativeAbstract",
      "short" : "Used for variant abstracts, such as translations",
      "definition" : "Used for variant abstracts, such as translations.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.alternativeAbstract",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeAbstract.id",
      "path" : "Citation.alternativeAbstract.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract.extension",
      "path" : "Citation.alternativeAbstract.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract.modifierExtension",
      "path" : "Citation.alternativeAbstract.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract.type",
      "path" : "Citation.alternativeAbstract.type",
      "short" : "Used to express the reason for the variant abstract, such as language",
      "definition" : "Used to express the reason for the variant abstract, such as language.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeAbstract.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AlternativeTitleType"
        }],
        "strength" : "extensible",
        "description" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/alternative-title-type"
      }
    },
    {
      "id" : "Citation.alternativeAbstract.language",
      "path" : "Citation.alternativeAbstract.language",
      "short" : "Used to express the specific language",
      "definition" : "Used to express the specific language.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeAbstract.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeAbstract.abstract",
      "path" : "Citation.alternativeAbstract.abstract",
      "short" : "Full variant abstract of the article",
      "definition" : "Full variant abstract of the article.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeAbstract.abstract",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeAbstract.abstractCopyright",
      "path" : "Citation.alternativeAbstract.abstractCopyright",
      "short" : "Variant abstract copyright",
      "definition" : "Copyright information for the abstract text.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeAbstract.abstractCopyright",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship",
      "path" : "Citation.contributorship",
      "short" : "Attribution of authors and other contributors",
      "definition" : "This element is used to list authors and other contributors, their contact information, specific contributions, and summary statements.",
      "requirements" : "Need to support individualized and collective attribution of authorship and contributorship to people and groups.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.id",
      "path" : "Citation.contributorship.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.extension",
      "path" : "Citation.contributorship.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.modifierExtension",
      "path" : "Citation.contributorship.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.contributorship.complete",
      "path" : "Citation.contributorship.complete",
      "short" : "Indicates if the list includes all authors and/or contributors",
      "definition" : "Indicates if the list includes all authors and/or contributors.",
      "comment" : "If list is incomplete \"et al\" can be appended to Contributorship.summary.value for display purposes.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.complete",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry",
      "path" : "Citation.contributorship.entry",
      "short" : "An individual entity named in the list",
      "definition" : "An individual entity named in the author list or contributor list.",
      "comment" : "Used to report contributorship in individualized ways.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.id",
      "path" : "Citation.contributorship.entry.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.extension",
      "path" : "Citation.contributorship.entry.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.modifierExtension",
      "path" : "Citation.contributorship.entry.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.name",
      "path" : "Citation.contributorship.entry.name",
      "short" : "A name associated with the person",
      "definition" : "A name associated with the individual.",
      "comment" : "humanName.family can match MEDLINE-based lastName (used for surname or single name), humanName.given can match MEDLINE-based forename (used for remainder of name except for suffix), humanName.suffix can match MEDLINE-based suffix (eg 2nd, 3rd, Jr, Sr).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.name",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "HumanName"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.initials",
      "path" : "Citation.contributorship.entry.initials",
      "short" : "Initials for forename",
      "definition" : "Initials for forename.",
      "comment" : "This element is used in Medline based citations, but not supported fully by FHIR HumanName datatype.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.initials",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.collectiveName",
      "path" : "Citation.contributorship.entry.collectiveName",
      "short" : "Used for collective or corporate name as an author",
      "definition" : "Used for collective or corporate name as an author.",
      "comment" : "This element is used in Medline based citations, but not supported fully by FHIR HumanName datatype.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.collectiveName",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.identifier",
      "path" : "Citation.contributorship.entry.identifier",
      "short" : "Author identifier, eg ORCID",
      "definition" : "Unique person identifier.",
      "comment" : "Avoids needing to disambiguate common last names or changes of name. ORCID is commonly used as author identifier.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo",
      "path" : "Citation.contributorship.entry.affiliationInfo",
      "short" : "Organizational affiliation",
      "definition" : "Organization affiliated with the entity.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.affiliationInfo",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.id",
      "path" : "Citation.contributorship.entry.affiliationInfo.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.extension",
      "path" : "Citation.contributorship.entry.affiliationInfo.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.modifierExtension",
      "path" : "Citation.contributorship.entry.affiliationInfo.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.affiliation",
      "path" : "Citation.contributorship.entry.affiliationInfo.affiliation",
      "short" : "Display for the organization",
      "definition" : "Display for the organization.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.affiliationInfo.affiliation",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.role",
      "path" : "Citation.contributorship.entry.affiliationInfo.role",
      "short" : "Role within the organization, such as professional title",
      "definition" : "Role within the organization, such as professional title.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.affiliationInfo.role",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.identifier",
      "path" : "Citation.contributorship.entry.affiliationInfo.identifier",
      "short" : "Identifier for the organization",
      "definition" : "Identifier for the organization.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.affiliationInfo.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.address",
      "path" : "Citation.contributorship.entry.address",
      "short" : "Physical mailing address",
      "definition" : "Physical mailing address for the author or contributor.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.address",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Address"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.telecom",
      "path" : "Citation.contributorship.entry.telecom",
      "short" : "Email or telephone contact methods for",
      "definition" : "Email or telephone contact methods for the author or contributor.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.telecom",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "ContactPoint"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.contribution",
      "path" : "Citation.contributorship.entry.contribution",
      "short" : "The specific contributions",
      "definition" : "This element identifies the specific nature of an individual’s contribution with respect to the cited work.",
      "comment" : "The CreDiT taxonomy provides a way to encode contribution information inside article XML files. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.entry.contribution",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationContribution"
        }],
        "strength" : "extensible",
        "description" : "Citation contribution.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-contribution"
      }
    },
    {
      "id" : "Citation.contributorship.entry.notAnAuthor",
      "path" : "Citation.contributorship.entry.notAnAuthor",
      "short" : "Used to identify non-author contributors",
      "definition" : "False, missing, or empty elements implies authorship.",
      "comment" : "Set as \"true\" to identify non-author contributors.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.notAnAuthor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.correspondingAuthor",
      "path" : "Citation.contributorship.entry.correspondingAuthor",
      "short" : "Indication of which author is the corresponding author for the article cited",
      "definition" : "Indication of which author is the corresponding author for the article cited.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.correspondingAuthor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.entry.listOrder",
      "path" : "Citation.contributorship.entry.listOrder",
      "short" : "Used to code order of authors",
      "definition" : "Used to code order of authors.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.entry.listOrder",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.summary",
      "path" : "Citation.contributorship.summary",
      "short" : "Used to record a display of the author/contributor list without separate coding for each list member",
      "definition" : "Used to record a display of the author/contributor list without separate coding for each list member.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.contributorship.summary",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.contributorship.summary.id",
      "path" : "Citation.contributorship.summary.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.summary.extension",
      "path" : "Citation.contributorship.summary.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.contributorship.summary.modifierExtension",
      "path" : "Citation.contributorship.summary.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.contributorship.summary.type",
      "path" : "Citation.contributorship.summary.type",
      "short" : "Either authorList or contributorshipStatement",
      "definition" : "Used most commonly to express an author list or a contributorship statement.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.summary.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummaryType"
        }],
        "strength" : "extensible",
        "description" : "Used to code author list statement, contributorship statement, and such.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-type"
      }
    },
    {
      "id" : "Citation.contributorship.summary.style",
      "path" : "Citation.contributorship.summary.style",
      "short" : "The format for the display string",
      "definition" : "The format for the display string.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.summary.style",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummaryStyle"
        }],
        "strength" : "extensible",
        "description" : "Used to code the format of the display string.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-style"
      }
    },
    {
      "id" : "Citation.contributorship.summary.source",
      "path" : "Citation.contributorship.summary.source",
      "short" : "Used to code the producer or rule for creating the display string",
      "definition" : "Used to code the producer or rule for creating the display string.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.summary.source",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummarySource"
        }],
        "strength" : "extensible",
        "description" : "Used to code the producer or rule for creating the display string.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-source"
      }
    },
    {
      "id" : "Citation.contributorship.summary.value",
      "path" : "Citation.contributorship.summary.value",
      "short" : "The display string for the author list, contributor list, or contributorship statement",
      "definition" : "The display string for the author list, contributor list, or contributorship statement.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.contributorship.summary.value",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.articleLanguage",
      "path" : "Citation.articleLanguage",
      "short" : "The language in which the article is published",
      "definition" : "The language in which the article is published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.articleLanguage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeForm",
      "path" : "Citation.alternativeForm",
      "short" : "Used to represent alternative forms of the article that are not separate citations",
      "definition" : "Used to represent alternative forms of the article that are not separate citations.",
      "comment" : "A common use is a journal article with a publication date and pagination for a print version and a different publication date for the online version of the same article.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.alternativeForm",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.id",
      "path" : "Citation.alternativeForm.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.extension",
      "path" : "Citation.alternativeForm.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.modifierExtension",
      "path" : "Citation.alternativeForm.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publishingModel",
      "path" : "Citation.alternativeForm.publishingModel",
      "short" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic",
      "definition" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publishingModel",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishingModelType"
        }],
        "strength" : "extensible",
        "description" : "To identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publishing-model-type"
      }
    },
    {
      "id" : "Citation.alternativeForm.language",
      "path" : "Citation.alternativeForm.language",
      "short" : "Language in which this form of the article is published",
      "definition" : "Language in which this form of the article is published.",
      "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeForm.journalIssue",
      "path" : "Citation.alternativeForm.journalIssue",
      "short" : "The specific issue in which the cited article resides",
      "definition" : "The specific issue in which the cited article resides.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.id",
      "path" : "Citation.alternativeForm.journalIssue.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.extension",
      "path" : "Citation.alternativeForm.journalIssue.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.modifierExtension",
      "path" : "Citation.alternativeForm.journalIssue.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.citedMedium",
      "path" : "Citation.alternativeForm.journalIssue.citedMedium",
      "short" : "Internet or Print",
      "definition" : "Describes the form of the medium cited. Common codes are \"Internet\" or \"Print.\".",
      "comment" : "National Library of Medicine uses the codes \"Internet\" or \"Print\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.citedMedium",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "JournalIssueMedium"
        }],
        "strength" : "extensible",
        "description" : "NLM codes Internet or Print.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/journal-issue-medium"
      }
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.volume",
      "path" : "Citation.alternativeForm.journalIssue.volume",
      "short" : "Volume number of journal in which the article is published",
      "definition" : "Volume number of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.volume",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.issue",
      "path" : "Citation.alternativeForm.journalIssue.issue",
      "short" : "Issue, part or supplement of journal in which the article is published",
      "definition" : "Issue, part or supplement of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.issue",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate",
      "short" : "Defining the date on which the issue of the joutnal was published",
      "definition" : "Defining the date on which the issue of the joutnal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.id",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.extension",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.modifierExtension",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.date",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.date",
      "short" : "Date on which the issue of the journal was published",
      "definition" : "Date on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.year",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.year",
      "short" : "Year on which the issue of the journal was published",
      "definition" : "Year on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.year",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.month",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.month",
      "short" : "Month on which the issue of the journal was published",
      "definition" : "Month on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.month",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.day",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.day",
      "short" : "Day on which the issue of the journal was published",
      "definition" : "Day on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.day",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.season",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.season",
      "short" : "Season on which the issue of the jornal was published",
      "definition" : "Spring, Summer, Fall/Autumn, Winter.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.season",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.text",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.text",
      "short" : "Text representation of the date of which the issue of the journal was published",
      "definition" : "Text representation of the date of which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.journalIssue.publicationDate.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.pagination",
      "path" : "Citation.alternativeForm.pagination",
      "short" : "Indicates the inclusive pages for the article cited",
      "definition" : "Indicates the inclusive pages for the article cited.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.pagination",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.pagination.id",
      "path" : "Citation.alternativeForm.pagination.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.extension",
      "path" : "Citation.alternativeForm.pagination.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.modifierExtension",
      "path" : "Citation.alternativeForm.pagination.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.pageString",
      "path" : "Citation.alternativeForm.pagination.pageString",
      "short" : "Used for full display of pagination",
      "definition" : "Used for full display of pagination.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.pagination.pageString",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.pagination.firstPage",
      "path" : "Citation.alternativeForm.pagination.firstPage",
      "short" : "Used for isolated representation of first page",
      "definition" : "Used for isolated representation of first page.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.pagination.firstPage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.pagination.lastPage",
      "path" : "Citation.alternativeForm.pagination.lastPage",
      "short" : "Used for isolated representation of last page",
      "definition" : "Used for isolated representation of last page.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.pagination.lastPage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo",
      "path" : "Citation.alternativeForm.publicationInfo",
      "short" : "Citation detail for sources other than journals",
      "definition" : "Citation detail for sources other than journals such as books and databases.",
      "comment" : "Website listings are a form of databases.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.id",
      "path" : "Citation.alternativeForm.publicationInfo.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.extension",
      "path" : "Citation.alternativeForm.publicationInfo.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.modifierExtension",
      "path" : "Citation.alternativeForm.publicationInfo.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn",
      "short" : "The collection the cited article is published in",
      "definition" : "The collection the cited article is published in.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.id",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.extension",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.modifierExtension",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.type",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.type",
      "short" : "Database or book",
      "definition" : "Database or book.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishedInType"
        }],
        "strength" : "extensible",
        "description" : "The type of publication such as book, database, or journal.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/published-in-type"
      }
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.name",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.name",
      "short" : "Name of the database or title of the book",
      "definition" : "Name of the database or title of the book.",
      "comment" : "ClinicalTrials.gov is a name of a database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn.name",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.publisher",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisher",
      "short" : "Name of the publisher",
      "definition" : "Name of the publisher.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisher",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.publisherLocation",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisherLocation",
      "short" : "Geographic location of the publisher",
      "definition" : "Geographic location of the publisher.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisherLocation",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.startDate",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.startDate",
      "short" : "When the database was first available or when the book was published",
      "definition" : "When the database was first available or when the book was published.",
      "comment" : "Date can be specific to database version or book edition if specified in the name.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.publishedIn.startDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.entryDate",
      "path" : "Citation.alternativeForm.publicationInfo.entryDate",
      "short" : "The date the article was added to the database",
      "definition" : "The date the article was added to the database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.entryDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.revisionDate",
      "path" : "Citation.alternativeForm.publicationInfo.revisionDate",
      "short" : "The date the article was last revised or updated in the database",
      "definition" : "The date the article was last revised or updated in the database.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.revisionDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.pageCount",
      "path" : "Citation.alternativeForm.publicationInfo.pageCount",
      "short" : "Number of pages or screens",
      "definition" : "Actual or Approximate number of pages or screens.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.alternativeForm.publicationInfo.pageCount",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.classifier",
      "path" : "Citation.classifier",
      "short" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical",
      "definition" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.classifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationClassifier"
        }],
        "strength" : "extensible",
        "description" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-classifier"
      }
    },
    {
      "id" : "Citation.keywordList",
      "path" : "Citation.keywordList",
      "short" : "Used to support keyword searches",
      "definition" : "A list of words classified as keywords for specific use in search functions.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.keywordList",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.keywordList.id",
      "path" : "Citation.keywordList.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.keywordList.extension",
      "path" : "Citation.keywordList.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.keywordList.modifierExtension",
      "path" : "Citation.keywordList.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.keywordList.owner",
      "path" : "Citation.keywordList.owner",
      "short" : "Author, publisher, or custodian of the keyword list",
      "definition" : "The entity responsible for the creation or maintenance of this keyword list.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.keywordList.owner",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.keywordList.keyword",
      "path" : "Citation.keywordList.keyword",
      "short" : "For each keyword in the keyword list",
      "definition" : "For each keyword in the keyword list.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "Citation.keywordList.keyword",
        "min" : 1,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.keywordList.keyword.id",
      "path" : "Citation.keywordList.keyword.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword.extension",
      "path" : "Citation.keywordList.keyword.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword.modifierExtension",
      "path" : "Citation.keywordList.keyword.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword.majorTopic",
      "path" : "Citation.keywordList.keyword.majorTopic",
      "short" : "Whether or not it is a major topic",
      "definition" : "Whether or not it is a major topic.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.keywordList.keyword.majorTopic",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.keywordList.keyword.value",
      "path" : "Citation.keywordList.keyword.value",
      "short" : "The actual keyword",
      "definition" : "The actual keyword.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Citation.keywordList.keyword.value",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.relatedArtifact",
      "path" : "Citation.relatedArtifact",
      "short" : "Link or citation to artifact associated with the referenced material",
      "definition" : "Link or citation to artifact associated with the referenced material.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.relatedArtifact",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "RelatedArtifact"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.note",
      "path" : "Citation.note",
      "short" : "Used for general notes and annotations not coded elsewhere",
      "definition" : "Used for general notes and annotations not coded elsewhere.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed",
      "path" : "Citation.medlinePubMed",
      "short" : "These elements are items with values assigned by MEDLINE or PubMed management",
      "definition" : "These elements are items with values assigned by MEDLINE or PubMed management.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.id",
      "path" : "Citation.medlinePubMed.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.extension",
      "path" : "Citation.medlinePubMed.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.modifierExtension",
      "path" : "Citation.medlinePubMed.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.medlineState",
      "path" : "Citation.medlinePubMed.medlineState",
      "short" : "Completed | In-Process | PubMed-not-MEDLINE | In-Data-Review | Publisher | MEDLINE | OLDMEDLINE",
      "definition" : "Used for status.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.medlineState",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedlinePubMedStatus"
        }],
        "strength" : "extensible",
        "description" : "Used for status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medline-pubmed-status"
      }
    },
    {
      "id" : "Citation.medlinePubMed.owner",
      "path" : "Citation.medlinePubMed.owner",
      "short" : "NLM | NASA | PIP | KIE | HSR | HMD | SIS | NOTNLM",
      "definition" : "Used for owner.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.owner",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedlinePubMedOwner"
        }],
        "strength" : "extensible",
        "description" : "Used for owner.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medline-pubmed-owner"
      }
    },
    {
      "id" : "Citation.medlinePubMed.pmid",
      "path" : "Citation.medlinePubMed.pmid",
      "short" : "PubMed ID",
      "definition" : "PubMed ID.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.pmid",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.pmidVersion",
      "path" : "Citation.medlinePubMed.pmidVersion",
      "short" : "PubMed ID Version",
      "definition" : "PubMed ID Version.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.pmidVersion",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.dateCreated",
      "path" : "Citation.medlinePubMed.dateCreated",
      "short" : "Creation date",
      "definition" : "Creation date.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.dateCreated",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.dateCompleted",
      "path" : "Citation.medlinePubMed.dateCompleted",
      "short" : "Completion date",
      "definition" : "Completion date.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.dateCompleted",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.dateRevised",
      "path" : "Citation.medlinePubMed.dateRevised",
      "short" : "Revision date",
      "definition" : "Revision date.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.dateRevised",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate",
      "path" : "Citation.medlinePubMed.pubMedPubDate",
      "short" : "Subcomponent of certainty",
      "definition" : "Subcomponent of certainty.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.medlinePubMed.pubMedPubDate",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.id",
      "path" : "Citation.medlinePubMed.pubMedPubDate.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.extension",
      "path" : "Citation.medlinePubMed.pubMedPubDate.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.modifierExtension",
      "path" : "Citation.medlinePubMed.pubMedPubDate.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.publicationState",
      "path" : "Citation.medlinePubMed.pubMedPubDate.publicationState",
      "short" : "PubMed Publication Status",
      "definition" : "PubMed Publication Status.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.pubMedPubDate.publicationState",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PubMedPubStatus"
        }],
        "strength" : "extensible",
        "description" : "PubMed Publication Status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/pubmed-pubstatus"
      }
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.date",
      "path" : "Citation.medlinePubMed.pubMedPubDate.date",
      "short" : "PubMed Publication Date",
      "definition" : "PubMed Publication Date.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.pubMedPubDate.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.publicationState",
      "path" : "Citation.medlinePubMed.publicationState",
      "short" : "Publication Status",
      "definition" : "Publication Status.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.publicationState",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PubMedPubStatus"
        }],
        "strength" : "extensible",
        "description" : "PubMed Publication Status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/pubmed-pubstatus"
      }
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle",
      "path" : "Citation.medlinePubMed.relatedArticle",
      "short" : "Related article",
      "definition" : "Related article.",
      "comment" : "PubMed has an algorithm for suggesting articles \"related to\" an index article.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.medlinePubMed.relatedArticle",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.id",
      "path" : "Citation.medlinePubMed.relatedArticle.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri" : "id"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.extension",
      "path" : "Citation.medlinePubMed.relatedArticle.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.modifierExtension",
      "path" : "Citation.medlinePubMed.relatedArticle.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.citationReference",
      "path" : "Citation.medlinePubMed.relatedArticle.citationReference",
      "short" : "Citation Resource for related article",
      "definition" : "Citation Resource for related article.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.relatedArticle.citationReference",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.citationMarkdown",
      "path" : "Citation.medlinePubMed.relatedArticle.citationMarkdown",
      "short" : "Citation string for related article",
      "definition" : "Citation string for related article.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Citation.medlinePubMed.relatedArticle.citationMarkdown",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.identifier",
      "path" : "Citation.medlinePubMed.relatedArticle.identifier",
      "short" : "Identifier for related article",
      "definition" : "Identifier for related article.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Citation.medlinePubMed.relatedArticle.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Citation",
      "path" : "Citation",
      "short" : "A Citation",
      "definition" : "The Citation.",
      "min" : 0,
      "max" : "*",
      "constraint" : [{
        "key" : "cnl-0",
        "severity" : "warning",
        "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
        "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
        "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')",
        "source" : "http://hl7.org/fhir/StructureDefinition/Citation"
      }]
    },
    {
      "id" : "Citation.url",
      "path" : "Citation.url",
      "short" : "Canonical identifier for this citation, represented as a globally unique URI",
      "definition" : "An absolute URI that is used to identify this citation 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 summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
      "comment" : "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.",
      "requirements" : "Allows the citation to be referenced by a single globally unique identifier.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.url"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "Citation.status",
      "path" : "Citation.status",
      "short" : "draft | active | retired | unknown",
      "definition" : "The status of this summary. Enables tracking the life-cycle of the content.",
      "comment" : "Allows filtering of summarys s that are appropriate for use versus not.",
      "requirements" : "Allows filtering of citations that are appropriate for use versus not.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublicationStatus"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The lifecycle status of an artifact.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.5.0"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "Citation.useContext",
      "path" : "Citation.useContext",
      "short" : "Use context",
      "definition" : "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 citation instances.",
      "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
      "requirements" : "Assist in searching for appropriate content.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "UsageContext"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.useContext"
      }]
    },
    {
      "id" : "Citation.identifier",
      "path" : "Citation.identifier",
      "short" : "May include DOI, PMID, PMCID, etc.",
      "definition" : "A formal identifier that is used to identify this citation when it is represented in other formats, or referenced in a specification, model, design or an instance.",
      "comment" : "May include DOI, PMID, PMCID, etc. This element will contain unique identifiers that support de-duplication of citations. This identifier can be valid for only one citation resource.",
      "requirements" : "Allows externally provided and/or usable identifiers to be associated with this citation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Definition.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "objimpl",
        "map" : "no-gen-base"
      }]
    },
    {
      "id" : "Citation.relatedIdentifier",
      "path" : "Citation.relatedIdentifier",
      "short" : "May include trial registry identifiers",
      "definition" : "A formal identifier that is used to identify things closely related to this citation.",
      "comment" : "May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This identifier can be valid for multiple citation resources.",
      "requirements" : "Allows externally provided and/or usable identifiers to be associated with this citation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true
    },
    {
      "id" : "Citation.summary",
      "path" : "Citation.summary",
      "short" : "A human-readable display of the citation",
      "definition" : "A human-readable display of the citation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.summary.style",
      "path" : "Citation.summary.style",
      "short" : "Format for display of the citation",
      "definition" : "Format for display of the citation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationSummaryStyle"
        }],
        "strength" : "extensible",
        "description" : "The format for display of the citation.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-summary-style"
      }
    },
    {
      "id" : "Citation.summary.text",
      "path" : "Citation.summary.text",
      "short" : "The human-readable display of the citation",
      "definition" : "The human-readable display of the citation.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Citation.dateCited",
      "path" : "Citation.dateCited",
      "short" : "Date Cited",
      "definition" : "Date Cited.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true
    },
    {
      "id" : "Citation.variantCitation",
      "path" : "Citation.variantCitation",
      "short" : "Variant citation",
      "definition" : "Variant citation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.variantCitation.type",
      "path" : "Citation.variantCitation.type",
      "short" : "Used to describe the reason for the variant citation, such as version or subpart specification",
      "definition" : "Used to describe the reason for the variant citation, such as version or subpart specification.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationVariantType"
        }],
        "strength" : "extensible",
        "description" : "To describe the reason for the variant citation, such as version number or subpart specification.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-variant-type"
      }
    },
    {
      "id" : "Citation.variantCitation.value",
      "path" : "Citation.variantCitation.value",
      "short" : "Used to describe the specific variation, such as version number or subpart specification",
      "definition" : "Used to describe the specific variation, such as version number or subpart specification.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.variantCitation.baseCitation",
      "path" : "Citation.variantCitation.baseCitation",
      "short" : "Base citation",
      "definition" : "Base citation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
      }]
    },
    {
      "id" : "Citation.publishingModel",
      "path" : "Citation.publishingModel",
      "short" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic",
      "definition" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishingModelType"
        }],
        "strength" : "extensible",
        "description" : "To identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publishing-model-type"
      }
    },
    {
      "id" : "Citation.journal",
      "path" : "Citation.journal",
      "short" : "Contains identifiers and classifiers for the journal cited",
      "definition" : "Contains identifiers and classifiers for the journal cited.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.journal.identifier",
      "path" : "Citation.journal.identifier",
      "short" : "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID",
      "definition" : "Journal identifiers include ISSN, ISO Abbreviation and NLMuniqueID.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "Citation.journal.country",
      "path" : "Citation.journal.country",
      "short" : "Place of publication of the journal",
      "definition" : "Place of publication of the journal.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue",
      "path" : "Citation.journal.journalIssue",
      "short" : "The specific issue in which the cited article resides",
      "definition" : "The specific issue in which the cited article resides.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.citedMedium",
      "path" : "Citation.journal.journalIssue.citedMedium",
      "short" : "NLM codes Internet or Print",
      "definition" : "NLM codes Internet or Print.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "JournalIssueMedium"
        }],
        "strength" : "extensible",
        "description" : "NLM codes Internet or Print.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/journal-issue-medium"
      }
    },
    {
      "id" : "Citation.journal.journalIssue.volume",
      "path" : "Citation.journal.journalIssue.volume",
      "short" : "Volume number of journal in which the article is published",
      "definition" : "Volume number of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.issue",
      "path" : "Citation.journal.journalIssue.issue",
      "short" : "Issue, part or supplement of journal in which the article is published",
      "definition" : "Issue, part or supplement of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate",
      "path" : "Citation.journal.journalIssue.publicationDate",
      "short" : "Date on which the issue of the journal was published",
      "definition" : "Date on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.date",
      "path" : "Citation.journal.journalIssue.publicationDate.date",
      "short" : "Defining the date on which the issue of the joutnal was published",
      "definition" : "Defining the date on which the issue of the joutnal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.year",
      "path" : "Citation.journal.journalIssue.publicationDate.year",
      "short" : "Year on which the issue of the journal was published",
      "definition" : "Year on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.month",
      "path" : "Citation.journal.journalIssue.publicationDate.month",
      "short" : "Month on which the issue of the journal was published",
      "definition" : "Month on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.day",
      "path" : "Citation.journal.journalIssue.publicationDate.day",
      "short" : "Day on which the issue of the journal was published",
      "definition" : "Day on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.season",
      "path" : "Citation.journal.journalIssue.publicationDate.season",
      "short" : "Season on which the issue of the jornal was published",
      "definition" : "Spring, Summer, Fall/Autumn, Winter.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.journalIssue.publicationDate.text",
      "path" : "Citation.journal.journalIssue.publicationDate.text",
      "short" : "Text representation of the date of which the issue of the journal was published",
      "definition" : "Text representation of the date of which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.journal.title",
      "path" : "Citation.journal.title",
      "short" : "Journal title",
      "definition" : "Journal title.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.publicationInfo",
      "path" : "Citation.publicationInfo",
      "short" : "Citation detail for sources other than journals",
      "definition" : "Citation detail for sources other than journals such as books and databases.",
      "comment" : "Website listings are a form of databases.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn",
      "path" : "Citation.publicationInfo.publishedIn",
      "short" : "The collection the cited article is published in",
      "definition" : "The collection the cited article is published in.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.type",
      "path" : "Citation.publicationInfo.publishedIn.type",
      "short" : "Database or book",
      "definition" : "Database or book.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishedInType"
        }],
        "strength" : "extensible",
        "description" : "The type of publication such as book, database, or journal.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/published-in-type"
      }
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.identifier",
      "path" : "Citation.publicationInfo.publishedIn.identifier",
      "short" : "Identifiers may include ISBN for books",
      "definition" : "Identifiers may include ISBN (International Standard Book Number) for books.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.name",
      "path" : "Citation.publicationInfo.publishedIn.name",
      "short" : "Name of the database or title of the book",
      "definition" : "Name of the database or title of the book.",
      "comment" : "ClinicalTrials.gov is a name of a database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.publisher",
      "path" : "Citation.publicationInfo.publishedIn.publisher",
      "short" : "Name of the publisher",
      "definition" : "Name of the publisher.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.publisherLocation",
      "path" : "Citation.publicationInfo.publishedIn.publisherLocation",
      "short" : "Geographic location of the publisher",
      "definition" : "Geographic location of the publisher.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.publicationInfo.publishedIn.startDate",
      "path" : "Citation.publicationInfo.publishedIn.startDate",
      "short" : "When the database was first available or when the book was published",
      "definition" : "When the database was first available or when the book was published.",
      "comment" : "Date can be specific to database version or book edition if specified in the name.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.publicationInfo.entryDate",
      "path" : "Citation.publicationInfo.entryDate",
      "short" : "The date the article was added to the database",
      "definition" : "The date the article was added to the database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "Citation.publicationInfo.revisionDate",
      "path" : "Citation.publicationInfo.revisionDate",
      "short" : "The date the article was last revised or updated in the database",
      "definition" : "The date the article was last revised or updated in the database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "Citation.publicationInfo.pageCount",
      "path" : "Citation.publicationInfo.pageCount",
      "short" : "Number of pages or screens",
      "definition" : "Actual or Approximate number of pages or screens.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.articleTitle",
      "path" : "Citation.articleTitle",
      "short" : "Full title of the article",
      "definition" : "Full title of the article.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Citation.alternativeTitle",
      "path" : "Citation.alternativeTitle",
      "short" : "Used for variant titles, such as translations",
      "definition" : "Used for variant titles, such as translations.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeTitle.type",
      "path" : "Citation.alternativeTitle.type",
      "short" : "Used to express the reason and specific aspect for the variant title, such as language",
      "definition" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AlternativeTitleType"
        }],
        "strength" : "extensible",
        "description" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/alternative-title-type"
      }
    },
    {
      "id" : "Citation.alternativeTitle.language",
      "path" : "Citation.alternativeTitle.language",
      "short" : "Used to express the specific language",
      "definition" : "Used to express the specific language.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeTitle.title",
      "path" : "Citation.alternativeTitle.title",
      "short" : "Full variant title of the article",
      "definition" : "Full variant title of the article.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.pagination",
      "path" : "Citation.pagination",
      "short" : "Indicates the inclusive pages for the article cited",
      "definition" : "Indicates the inclusive pages for the article cited.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.pagination.pageString",
      "path" : "Citation.pagination.pageString",
      "short" : "Used for full display of pagination",
      "definition" : "Used for full display of pagination.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.pagination.firstPage",
      "path" : "Citation.pagination.firstPage",
      "short" : "Used for isolated representation of first page",
      "definition" : "Used for isolated representation of first page.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.pagination.lastPage",
      "path" : "Citation.pagination.lastPage",
      "short" : "Used for isolated representation of last page",
      "definition" : "Used for isolated representation of last page.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.articleUrl",
      "path" : "Citation.articleUrl",
      "short" : "Used for any URL for the article cited",
      "definition" : "Used for any URL for the article cited.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.articleUrl.type",
      "path" : "Citation.articleUrl.type",
      "short" : "Code the reason for different URLs, eg abstract and full-text",
      "definition" : "Code the reason for different URLs, eg abstract and full-text.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ArticleUrlType"
        }],
        "strength" : "extensible",
        "description" : "Code the reason for different URLs, eg abstract and full-text.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/article-url-type"
      }
    },
    {
      "id" : "Citation.articleUrl.url",
      "path" : "Citation.articleUrl.url",
      "short" : "The specific URL",
      "definition" : "The specific URL.",
      "comment" : "Persistent URLs, like doi, are preferred.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }]
    },
    {
      "id" : "Citation.abstract",
      "path" : "Citation.abstract",
      "short" : "Abstract text",
      "definition" : "Abstract text, as published; may include structured labels.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.abstractCopyright",
      "path" : "Citation.abstractCopyright",
      "short" : "Abstract copyright",
      "definition" : "Copyright information for the abstract text.",
      "requirements" : "Serves a legal notice regarding the intellectual property content of the material referenced.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract",
      "path" : "Citation.alternativeAbstract",
      "short" : "Used for variant abstracts, such as translations",
      "definition" : "Used for variant abstracts, such as translations.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract.type",
      "path" : "Citation.alternativeAbstract.type",
      "short" : "Used to express the reason for the variant abstract, such as language",
      "definition" : "Used to express the reason for the variant abstract, such as language.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AlternativeTitleType"
        }],
        "strength" : "extensible",
        "description" : "Used to express the reason and specific aspect for the variant title, such as language and specific language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/alternative-title-type"
      }
    },
    {
      "id" : "Citation.alternativeAbstract.language",
      "path" : "Citation.alternativeAbstract.language",
      "short" : "Used to express the specific language",
      "definition" : "Used to express the specific language.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeAbstract.abstract",
      "path" : "Citation.alternativeAbstract.abstract",
      "short" : "Full variant abstract of the article",
      "definition" : "Full variant abstract of the article.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.alternativeAbstract.abstractCopyright",
      "path" : "Citation.alternativeAbstract.abstractCopyright",
      "short" : "Variant abstract copyright",
      "definition" : "Copyright information for the abstract text.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.contributorship",
      "path" : "Citation.contributorship",
      "short" : "Attribution of authors and other contributors",
      "definition" : "This element is used to list authors and other contributors, their contact information, specific contributions, and summary statements.",
      "requirements" : "Need to support individualized and collective attribution of authorship and contributorship to people and groups.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.contributorship.complete",
      "path" : "Citation.contributorship.complete",
      "short" : "Indicates if the list includes all authors and/or contributors",
      "definition" : "Indicates if the list includes all authors and/or contributors.",
      "comment" : "If list is incomplete \"et al\" can be appended to Contributorship.summary.value for display purposes.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Citation.contributorship.entry",
      "path" : "Citation.contributorship.entry",
      "short" : "An individual entity named in the list",
      "definition" : "An individual entity named in the author list or contributor list.",
      "comment" : "Used to report contributorship in individualized ways.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.name",
      "path" : "Citation.contributorship.entry.name",
      "short" : "A name associated with the person",
      "definition" : "A name associated with the individual.",
      "comment" : "humanName.family can match MEDLINE-based lastName (used for surname or single name), humanName.given can match MEDLINE-based forename (used for remainder of name except for suffix), humanName.suffix can match MEDLINE-based suffix (eg 2nd, 3rd, Jr, Sr).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "HumanName"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.initials",
      "path" : "Citation.contributorship.entry.initials",
      "short" : "Initials for forename",
      "definition" : "Initials for forename.",
      "comment" : "This element is used in Medline based citations, but not supported fully by FHIR HumanName datatype.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.collectiveName",
      "path" : "Citation.contributorship.entry.collectiveName",
      "short" : "Used for collective or corporate name as an author",
      "definition" : "Used for collective or corporate name as an author.",
      "comment" : "This element is used in Medline based citations, but not supported fully by FHIR HumanName datatype.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.identifier",
      "path" : "Citation.contributorship.entry.identifier",
      "short" : "Author identifier, eg ORCID",
      "definition" : "Unique person identifier.",
      "comment" : "Avoids needing to disambiguate common last names or changes of name. ORCID is commonly used as author identifier.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo",
      "path" : "Citation.contributorship.entry.affiliationInfo",
      "short" : "Organizational affiliation",
      "definition" : "Organization affiliated with the entity.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.affiliation",
      "path" : "Citation.contributorship.entry.affiliationInfo.affiliation",
      "short" : "Display for the organization",
      "definition" : "Display for the organization.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.role",
      "path" : "Citation.contributorship.entry.affiliationInfo.role",
      "short" : "Role within the organization, such as professional title",
      "definition" : "Role within the organization, such as professional title.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.affiliationInfo.identifier",
      "path" : "Citation.contributorship.entry.affiliationInfo.identifier",
      "short" : "Identifier for the organization",
      "definition" : "Identifier for the organization.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.address",
      "path" : "Citation.contributorship.entry.address",
      "short" : "Physical mailing address",
      "definition" : "Physical mailing address for the author or contributor.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Address"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.telecom",
      "path" : "Citation.contributorship.entry.telecom",
      "short" : "Email or telephone contact methods for",
      "definition" : "Email or telephone contact methods for the author or contributor.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "ContactPoint"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.contribution",
      "path" : "Citation.contributorship.entry.contribution",
      "short" : "The specific contributions",
      "definition" : "This element identifies the specific nature of an individual’s contribution with respect to the cited work.",
      "comment" : "The CreDiT taxonomy provides a way to encode contribution information inside article XML files. The purpose of CRediT is to provide transparency in contributions to scholarly published work, to enable improved systems of attribution, credit, and accountability.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationContribution"
        }],
        "strength" : "extensible",
        "description" : "Citation contribution.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-contribution"
      }
    },
    {
      "id" : "Citation.contributorship.entry.notAnAuthor",
      "path" : "Citation.contributorship.entry.notAnAuthor",
      "short" : "Used to identify non-author contributors",
      "definition" : "False, missing, or empty elements implies authorship.",
      "comment" : "Set as \"true\" to identify non-author contributors.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.correspondingAuthor",
      "path" : "Citation.contributorship.entry.correspondingAuthor",
      "short" : "Indication of which author is the corresponding author for the article cited",
      "definition" : "Indication of which author is the corresponding author for the article cited.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Citation.contributorship.entry.listOrder",
      "path" : "Citation.contributorship.entry.listOrder",
      "short" : "Used to code order of authors",
      "definition" : "Used to code order of authors.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "Citation.contributorship.summary",
      "path" : "Citation.contributorship.summary",
      "short" : "Used to record a display of the author/contributor list without separate coding for each list member",
      "definition" : "Used to record a display of the author/contributor list without separate coding for each list member.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.contributorship.summary.type",
      "path" : "Citation.contributorship.summary.type",
      "short" : "Either authorList or contributorshipStatement",
      "definition" : "Used most commonly to express an author list or a contributorship statement.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummaryType"
        }],
        "strength" : "extensible",
        "description" : "Used to code author list statement, contributorship statement, and such.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-type"
      }
    },
    {
      "id" : "Citation.contributorship.summary.style",
      "path" : "Citation.contributorship.summary.style",
      "short" : "The format for the display string",
      "definition" : "The format for the display string.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummaryStyle"
        }],
        "strength" : "extensible",
        "description" : "Used to code the format of the display string.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-style"
      }
    },
    {
      "id" : "Citation.contributorship.summary.source",
      "path" : "Citation.contributorship.summary.source",
      "short" : "Used to code the producer or rule for creating the display string",
      "definition" : "Used to code the producer or rule for creating the display string.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ContributorSummarySource"
        }],
        "strength" : "extensible",
        "description" : "Used to code the producer or rule for creating the display string.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/contributor-summary-source"
      }
    },
    {
      "id" : "Citation.contributorship.summary.value",
      "path" : "Citation.contributorship.summary.value",
      "short" : "The display string for the author list, contributor list, or contributorship statement",
      "definition" : "The display string for the author list, contributor list, or contributorship statement.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.articleLanguage",
      "path" : "Citation.articleLanguage",
      "short" : "The language in which the article is published",
      "definition" : "The language in which the article is published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeForm",
      "path" : "Citation.alternativeForm",
      "short" : "Used to represent alternative forms of the article that are not separate citations",
      "definition" : "Used to represent alternative forms of the article that are not separate citations.",
      "comment" : "A common use is a journal article with a publication date and pagination for a print version and a different publication date for the online version of the same article.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publishingModel",
      "path" : "Citation.alternativeForm.publishingModel",
      "short" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic",
      "definition" : "Identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishingModelType"
        }],
        "strength" : "extensible",
        "description" : "To identify the medium/media in which the cited article is published, eg print, electronic or print-electronic.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/publishing-model-type"
      }
    },
    {
      "id" : "Citation.alternativeForm.language",
      "path" : "Citation.alternativeForm.language",
      "short" : "Language in which this form of the article is published",
      "definition" : "Language in which this form of the article is published.",
      "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Citation.alternativeForm.journalIssue",
      "path" : "Citation.alternativeForm.journalIssue",
      "short" : "The specific issue in which the cited article resides",
      "definition" : "The specific issue in which the cited article resides.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.citedMedium",
      "path" : "Citation.alternativeForm.journalIssue.citedMedium",
      "short" : "Internet or Print",
      "definition" : "Describes the form of the medium cited. Common codes are \"Internet\" or \"Print.\".",
      "comment" : "National Library of Medicine uses the codes \"Internet\" or \"Print\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "JournalIssueMedium"
        }],
        "strength" : "extensible",
        "description" : "NLM codes Internet or Print.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/journal-issue-medium"
      }
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.volume",
      "path" : "Citation.alternativeForm.journalIssue.volume",
      "short" : "Volume number of journal in which the article is published",
      "definition" : "Volume number of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.issue",
      "path" : "Citation.alternativeForm.journalIssue.issue",
      "short" : "Issue, part or supplement of journal in which the article is published",
      "definition" : "Issue, part or supplement of journal in which the article is published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate",
      "short" : "Defining the date on which the issue of the joutnal was published",
      "definition" : "Defining the date on which the issue of the joutnal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.date",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.date",
      "short" : "Date on which the issue of the journal was published",
      "definition" : "Date on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.year",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.year",
      "short" : "Year on which the issue of the journal was published",
      "definition" : "Year on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.month",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.month",
      "short" : "Month on which the issue of the journal was published",
      "definition" : "Month on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.day",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.day",
      "short" : "Day on which the issue of the journal was published",
      "definition" : "Day on which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.season",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.season",
      "short" : "Season on which the issue of the jornal was published",
      "definition" : "Spring, Summer, Fall/Autumn, Winter.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.journalIssue.publicationDate.text",
      "path" : "Citation.alternativeForm.journalIssue.publicationDate.text",
      "short" : "Text representation of the date of which the issue of the journal was published",
      "definition" : "Text representation of the date of which the issue of the journal was published.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination",
      "path" : "Citation.alternativeForm.pagination",
      "short" : "Indicates the inclusive pages for the article cited",
      "definition" : "Indicates the inclusive pages for the article cited.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.pageString",
      "path" : "Citation.alternativeForm.pagination.pageString",
      "short" : "Used for full display of pagination",
      "definition" : "Used for full display of pagination.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.firstPage",
      "path" : "Citation.alternativeForm.pagination.firstPage",
      "short" : "Used for isolated representation of first page",
      "definition" : "Used for isolated representation of first page.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.pagination.lastPage",
      "path" : "Citation.alternativeForm.pagination.lastPage",
      "short" : "Used for isolated representation of last page",
      "definition" : "Used for isolated representation of last page.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo",
      "path" : "Citation.alternativeForm.publicationInfo",
      "short" : "Citation detail for sources other than journals",
      "definition" : "Citation detail for sources other than journals such as books and databases.",
      "comment" : "Website listings are a form of databases.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn",
      "short" : "The collection the cited article is published in",
      "definition" : "The collection the cited article is published in.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.type",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.type",
      "short" : "Database or book",
      "definition" : "Database or book.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PublishedInType"
        }],
        "strength" : "extensible",
        "description" : "The type of publication such as book, database, or journal.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/published-in-type"
      }
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.name",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.name",
      "short" : "Name of the database or title of the book",
      "definition" : "Name of the database or title of the book.",
      "comment" : "ClinicalTrials.gov is a name of a database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.publisher",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisher",
      "short" : "Name of the publisher",
      "definition" : "Name of the publisher.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.publisherLocation",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.publisherLocation",
      "short" : "Geographic location of the publisher",
      "definition" : "Geographic location of the publisher.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.publishedIn.startDate",
      "path" : "Citation.alternativeForm.publicationInfo.publishedIn.startDate",
      "short" : "When the database was first available or when the book was published",
      "definition" : "When the database was first available or when the book was published.",
      "comment" : "Date can be specific to database version or book edition if specified in the name.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.entryDate",
      "path" : "Citation.alternativeForm.publicationInfo.entryDate",
      "short" : "The date the article was added to the database",
      "definition" : "The date the article was added to the database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.revisionDate",
      "path" : "Citation.alternativeForm.publicationInfo.revisionDate",
      "short" : "The date the article was last revised or updated in the database",
      "definition" : "The date the article was last revised or updated in the database.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "Citation.alternativeForm.publicationInfo.pageCount",
      "path" : "Citation.alternativeForm.publicationInfo.pageCount",
      "short" : "Number of pages or screens",
      "definition" : "Actual or Approximate number of pages or screens.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.classifier",
      "path" : "Citation.classifier",
      "short" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical",
      "definition" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CitationClassifier"
        }],
        "strength" : "extensible",
        "description" : "Used for many classifiers including PublicationType, CitationSubset, MeshHeading, Chemical.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/citation-classifier"
      }
    },
    {
      "id" : "Citation.keywordList",
      "path" : "Citation.keywordList",
      "short" : "Used to support keyword searches",
      "definition" : "A list of words classified as keywords for specific use in search functions.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.keywordList.owner",
      "path" : "Citation.keywordList.owner",
      "short" : "Author, publisher, or custodian of the keyword list",
      "definition" : "The entity responsible for the creation or maintenance of this keyword list.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword",
      "path" : "Citation.keywordList.keyword",
      "short" : "For each keyword in the keyword list",
      "definition" : "For each keyword in the keyword list.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword.majorTopic",
      "path" : "Citation.keywordList.keyword.majorTopic",
      "short" : "Whether or not it is a major topic",
      "definition" : "Whether or not it is a major topic.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Citation.keywordList.keyword.value",
      "path" : "Citation.keywordList.keyword.value",
      "short" : "The actual keyword",
      "definition" : "The actual keyword.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Citation.relatedArtifact",
      "path" : "Citation.relatedArtifact",
      "short" : "Link or citation to artifact associated with the referenced material",
      "definition" : "Link or citation to artifact associated with the referenced material.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "RelatedArtifact"
      }]
    },
    {
      "id" : "Citation.note",
      "path" : "Citation.note",
      "short" : "Used for general notes and annotations not coded elsewhere",
      "definition" : "Used for general notes and annotations not coded elsewhere.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }]
    },
    {
      "id" : "Citation.medlinePubMed",
      "path" : "Citation.medlinePubMed",
      "short" : "These elements are items with values assigned by MEDLINE or PubMed management",
      "definition" : "These elements are items with values assigned by MEDLINE or PubMed management.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.medlineState",
      "path" : "Citation.medlinePubMed.medlineState",
      "short" : "Completed | In-Process | PubMed-not-MEDLINE | In-Data-Review | Publisher | MEDLINE | OLDMEDLINE",
      "definition" : "Used for status.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedlinePubMedStatus"
        }],
        "strength" : "extensible",
        "description" : "Used for status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medline-pubmed-status"
      }
    },
    {
      "id" : "Citation.medlinePubMed.owner",
      "path" : "Citation.medlinePubMed.owner",
      "short" : "NLM | NASA | PIP | KIE | HSR | HMD | SIS | NOTNLM",
      "definition" : "Used for owner.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedlinePubMedOwner"
        }],
        "strength" : "extensible",
        "description" : "Used for owner.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medline-pubmed-owner"
      }
    },
    {
      "id" : "Citation.medlinePubMed.pmid",
      "path" : "Citation.medlinePubMed.pmid",
      "short" : "PubMed ID",
      "definition" : "PubMed ID.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pmidVersion",
      "path" : "Citation.medlinePubMed.pmidVersion",
      "short" : "PubMed ID Version",
      "definition" : "PubMed ID Version.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.dateCreated",
      "path" : "Citation.medlinePubMed.dateCreated",
      "short" : "Creation date",
      "definition" : "Creation date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.dateCompleted",
      "path" : "Citation.medlinePubMed.dateCompleted",
      "short" : "Completion date",
      "definition" : "Completion date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.dateRevised",
      "path" : "Citation.medlinePubMed.dateRevised",
      "short" : "Revision date",
      "definition" : "Revision date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate",
      "path" : "Citation.medlinePubMed.pubMedPubDate",
      "short" : "Subcomponent of certainty",
      "definition" : "Subcomponent of certainty.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.publicationState",
      "path" : "Citation.medlinePubMed.pubMedPubDate.publicationState",
      "short" : "PubMed Publication Status",
      "definition" : "PubMed Publication Status.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PubMedPubStatus"
        }],
        "strength" : "extensible",
        "description" : "PubMed Publication Status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/pubmed-pubstatus"
      }
    },
    {
      "id" : "Citation.medlinePubMed.pubMedPubDate.date",
      "path" : "Citation.medlinePubMed.pubMedPubDate.date",
      "short" : "PubMed Publication Date",
      "definition" : "PubMed Publication Date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.publicationState",
      "path" : "Citation.medlinePubMed.publicationState",
      "short" : "Publication Status",
      "definition" : "Publication Status.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PubMedPubStatus"
        }],
        "strength" : "extensible",
        "description" : "PubMed Publication Status.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/pubmed-pubstatus"
      }
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle",
      "path" : "Citation.medlinePubMed.relatedArticle",
      "short" : "Related article",
      "definition" : "Related article.",
      "comment" : "PubMed has an algorithm for suggesting articles \"related to\" an index article.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.citationReference",
      "path" : "Citation.medlinePubMed.relatedArticle.citationReference",
      "short" : "Citation Resource for related article",
      "definition" : "Citation Resource for related article.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.citationMarkdown",
      "path" : "Citation.medlinePubMed.relatedArticle.citationMarkdown",
      "short" : "Citation string for related article",
      "definition" : "Citation string for related article.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }]
    },
    {
      "id" : "Citation.medlinePubMed.relatedArticle.identifier",
      "path" : "Citation.medlinePubMed.relatedArticle.identifier",
      "short" : "Identifier for related article",
      "definition" : "Identifier for related article.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    }]
  }
}

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.