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This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example StructureDefinition/MarketingStatus (XML)

Modeling and Methodology Work GroupMaturity Level: N/AStandards Status: Informative

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

StructureDefinition for MarketingStatus

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MarketingStatus"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M
          MKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus" title="MarketingStatus : The marketing status describes the date when a medicinal product
             is actually put on the market or the date as of which it is no longer available.">MarketingStatus</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #efefef" title="Standards Status = Draft">D</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#Element">Element</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The marketing status describes the date when a medicinal product is actually put
             on the market or the date as of which it is no longer available
            <br/>  
            <br/>  Elements defined in Ancestors: 
            <a href="types.html#Element" title="Unique id for the element within a resource (for internal references). This may
             be any string value that does not contain spaces.">id</a> , 
            <a href="types.html#Element" title="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 managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part
             of the definition of the extension.">extension</a> , 
            <a href="types.html#BackboneType" title="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 managable, there is a strict set of governance applied to the definition
             and use of extensions. Though any implementer can define an extension, there is
             a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus.country" title="MarketingStatus.country : The country in which the marketing authorization has
             been granted shall be specified It should be specified using the ISO 3166 ‑ 1 alpha-2
             code elements.">country</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The country in which the marketing authorization has been granted shall be specified
             It should be specified using the ISO 3166 ‑ 1 alpha-2 code elements
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus.jurisdiction" title="MarketingStatus.jurisdiction : Where a Medicines Regulatory Agency has granted
             a marketing authorization for which specific provisions within a jurisdiction apply,
             the jurisdiction can be specified using an appropriate controlled terminology The
             controlled term and the controlled term identifier shall be specified.">jurisdiction</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Where a Medicines Regulatory Agency has granted a marketing authorization for which
             specific provisions within a jurisdiction apply, the jurisdiction can be specified
             using an appropriate controlled terminology The controlled term and the controlled
             term identifier shall be specified
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus.status" title="MarketingStatus.status : This attribute provides information on the status of the
             marketing of the medicinal product See ISO/TS 20443 for more information and examples.">status</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">This attribute provides information on the status of the marketing of the medicinal
             product See ISO/TS 20443 for more information and examples
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus.dateRange" title="MarketingStatus.dateRange : The date when the Medicinal Product is placed on the
             market by the Marketing Authorization Holder (or where applicable, the manufacturer/distribut
            or) in a country and/or jurisdiction shall be provided A complete date consisting
             of day, month and year shall be specified using the ISO 8601 date format NOTE “Placed
             on the market” refers to the release of the Medicinal Product into the distribution
             chain.">dateRange</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The date when the Medicinal Product is placed on the market by the Marketing Authorization
             Holder (or where applicable, the manufacturer/distributor) in a country and/or
             jurisdiction shall be provided A complete date consisting of day, month and year
             shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
             to the release of the Medicinal Product into the distribution chain
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <a href="marketingstatus-definitions.html#MarketingStatus.restoreDate" title="MarketingStatus.restoreDate : The date when the Medicinal Product is placed on
             the market by the Marketing Authorization Holder (or where applicable, the manufacturer/distr
            ibutor) in a country and/or jurisdiction shall be provided A complete date consisting
             of day, month and year shall be specified using the ISO 8601 date format NOTE “Placed
             on the market” refers to the release of the Medicinal Product into the distribution
             chain.">restoreDate</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The date when the Medicinal Product is placed on the market by the Marketing Authorization
             Holder (or where applicable, the manufacturer/distributor) in a country and/or
             jurisdiction shall be provided A complete date consisting of day, month and year
             shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
             to the release of the Medicinal Product into the distribution chain
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="draft"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/MarketingStatus"/> 
  <version value="6.0.0-ballot2"/> 
  <name value="MarketingStatus"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2024-11-04T06:39:07+00:00"/> 
  <publisher value="HL7 International / FHIR Infrastructure"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/fiwg"/> 
    </telecom> 
  </contact> 
  <description value="MarketingStatus Type: The marketing status describes the date when a medicinal
   product is actually put on the market or the date as of which it is no longer available."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <fhirVersion value="6.0.0-ballot2"/> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="complex-type"/> 
  <abstract value="false"/> 
  <type value="MarketingStatus"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="MarketingStatus">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="draft"/> 
      </extension> 
      <path value="MarketingStatus"/> 
      <short value="The marketing status describes the date when a medicinal product is actually put
       on the market or the date as of which it is no longer available"/> 
      <definition value="The marketing status describes the date when a medicinal product is actually put
       on the market or the date as of which it is no longer available."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MarketingStatus"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="administrative.medication"/> 
      </mapping> 
    </element> 
    <element id="MarketingStatus.id">
      <path value="MarketingStatus.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MarketingStatus.extension">
      <path value="MarketingStatus.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MarketingStatus.modifierExtension">
      <path value="MarketingStatus.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneType.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MarketingStatus.country">
      <path value="MarketingStatus.country"/> 
      <short value="The country in which the marketing authorization has been granted shall be specified
       It should be specified using the ISO 3166 ‑ 1 alpha-2 code elements"/> 
      <definition value="The country in which the marketing authorization has been granted shall be specified
       It should be specified using the ISO 3166 ‑ 1 alpha-2 code elements."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MarketingStatus.country"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="MarketingStatus.jurisdiction">
      <path value="MarketingStatus.jurisdiction"/> 
      <short value="Where a Medicines Regulatory Agency has granted a marketing authorization for which
       specific provisions within a jurisdiction apply, the jurisdiction can be specified
       using an appropriate controlled terminology The controlled term and the controlled
       term identifier shall be specified"/> 
      <definition value="Where a Medicines Regulatory Agency has granted a marketing authorization for which
       specific provisions within a jurisdiction apply, the jurisdiction can be specified
       using an appropriate controlled terminology The controlled term and the controlled
       term identifier shall be specified."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MarketingStatus.jurisdiction"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="MarketingStatus.status">
      <path value="MarketingStatus.status"/> 
      <short value="This attribute provides information on the status of the marketing of the medicinal
       product See ISO/TS 20443 for more information and examples"/> 
      <definition value="This attribute provides information on the status of the marketing of the medicinal
       product See ISO/TS 20443 for more information and examples."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MarketingStatus.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="MarketingStatus.dateRange">
      <path value="MarketingStatus.dateRange"/> 
      <short value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain"/> 
      <definition value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MarketingStatus.dateRange"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="MarketingStatus.restoreDate">
      <path value="MarketingStatus.restoreDate"/> 
      <short value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain"/> 
      <definition value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MarketingStatus.restoreDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="MarketingStatus">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="draft"/> 
      </extension> 
      <path value="MarketingStatus"/> 
      <short value="The marketing status describes the date when a medicinal product is actually put
       on the market or the date as of which it is no longer available"/> 
      <definition value="The marketing status describes the date when a medicinal product is actually put
       on the market or the date as of which it is no longer available."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="administrative.medication"/> 
      </mapping> 
    </element> 
    <element id="MarketingStatus.country">
      <path value="MarketingStatus.country"/> 
      <short value="The country in which the marketing authorization has been granted shall be specified
       It should be specified using the ISO 3166 ‑ 1 alpha-2 code elements"/> 
      <definition value="The country in which the marketing authorization has been granted shall be specified
       It should be specified using the ISO 3166 ‑ 1 alpha-2 code elements."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
    <element id="MarketingStatus.jurisdiction">
      <path value="MarketingStatus.jurisdiction"/> 
      <short value="Where a Medicines Regulatory Agency has granted a marketing authorization for which
       specific provisions within a jurisdiction apply, the jurisdiction can be specified
       using an appropriate controlled terminology The controlled term and the controlled
       term identifier shall be specified"/> 
      <definition value="Where a Medicines Regulatory Agency has granted a marketing authorization for which
       specific provisions within a jurisdiction apply, the jurisdiction can be specified
       using an appropriate controlled terminology The controlled term and the controlled
       term identifier shall be specified."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
    <element id="MarketingStatus.status">
      <path value="MarketingStatus.status"/> 
      <short value="This attribute provides information on the status of the marketing of the medicinal
       product See ISO/TS 20443 for more information and examples"/> 
      <definition value="This attribute provides information on the status of the marketing of the medicinal
       product See ISO/TS 20443 for more information and examples."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
    <element id="MarketingStatus.dateRange">
      <path value="MarketingStatus.dateRange"/> 
      <short value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain"/> 
      <definition value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Period"/> 
      </type> 
    </element> 
    <element id="MarketingStatus.restoreDate">
      <path value="MarketingStatus.restoreDate"/> 
      <short value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain"/> 
      <definition value="The date when the Medicinal Product is placed on the market by the Marketing Authorization
       Holder (or where applicable, the manufacturer/distributor) in a country and/or
       jurisdiction shall be provided A complete date consisting of day, month and year
       shall be specified using the ISO 8601 date format NOTE “Placed on the market” refers
       to the release of the Medicinal Product into the distribution chain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
    </element> 
  </differential> 
</StructureDefinition> 

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