Release 5 Draft Ballot

Clinicaluseissue.profile.json

Biomedical Research and Regulation Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

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

StructureDefinition for clinicaluseissue

{
  "resourceType" : "StructureDefinition",
  "id" : "ClinicalUseIssue",
  "meta" : {
    "lastUpdated" : "2021-04-14T05:30:20.096+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" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "anonymous"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "brr"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue",
  "version" : "4.6.0",
  "name" : "ClinicalUseIssue",
  "status" : "draft",
  "date" : "2021-04-14T05:30:20+00:00",
  "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
    }]
  }],
  "description" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
  "fhirVersion" : "4.6.0",
  "mapping" : [{
    "identity" : "idmp",
    "uri" : "https://en.wikipedia.org/wiki/Identification_of_medicinal_products",
    "name" : "IDMP Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "ClinicalUseIssue",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "ClinicalUseIssue",
      "path" : "ClinicalUseIssue",
      "short" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure",
      "definition" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
        "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.`div`.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "idmp",
        "map" : "Contraindication, Therapeutic Indication, Interactions, Undesirable Effects"
      },
      {
        "identity" : "w5",
        "map" : "clinical.general"
      }]
    },
    {
      "id" : "ClinicalUseIssue.id",
      "path" : "ClinicalUseIssue.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" : "Typically, the resource has an id except for cases like the create operation, conditional updates.",
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClinicalUseIssue.meta",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClinicalUseIssue.implicitRules",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "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" : "ClinicalUseIssue.language",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/build/StructureDefinition/definition",
          "valueString" : "A human language."
        },
        {
          "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" : "IETF language tag",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "ClinicalUseIssue.text",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contained",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClinicalUseIssue.extension",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClinicalUseIssue.modifierExtension",
      "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "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" : "ClinicalUseIssue.identifier",
      "path" : "ClinicalUseIssue.identifier",
      "short" : "Business identifier for this issue",
      "definition" : "Business identifier for this issue.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.type",
      "path" : "ClinicalUseIssue.type",
      "short" : "indication | contraindication | interaction | undesirable-effect | warning",
      "definition" : "indication | contraindication | interaction | undesirable-effect | warning.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.type",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClinicalUseIssueType"
        }],
        "strength" : "required",
        "description" : "Overall defining type of this clinical use issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.6.0"
      },
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the type of IDMP class, out of Contraindication, Therapeutic Indication, Interactions, Undesirable Effects)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.category",
      "path" : "ClinicalUseIssue.category",
      "short" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\"",
      "definition" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.category",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.subject",
      "path" : "ClinicalUseIssue.subject",
      "short" : "The medication or procedure for which this is an indication",
      "definition" : "The medication or procedure for which this is an indication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.subject",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
        "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
        "http://hl7.org/fhir/StructureDefinition/Substance"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the link between the IDMP class and Medicinal Product)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.status",
      "path" : "ClinicalUseIssue.status",
      "short" : "Whether this is a current issue or one that has been retired etc",
      "definition" : "Whether this is a current issue or one that has been retired etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.status",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.description",
      "path" : "ClinicalUseIssue.description",
      "short" : "General description of an effect (particularly for a general warning, rather than any of the more specific types such as indication) for when a distinct coded or textual description is not appropriate using  Indication.diseaseSymptomProcedure.text, Contraindication.diseaseSymptomProcedure.text etc. For example \"May affect ability to drive\"",
      "definition" : "General description of an effect (particularly for a general warning, rather than any of the more specific types such as indication) for when a distinct coded or textual description is not appropriate using  Indication.diseaseSymptomProcedure.text, Contraindication.diseaseSymptomProcedure.text etc. For example \"May affect ability to drive\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.description",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a (this is not intended for the specifics of Contraindication.Contraindications Text, Therapeutic Indication.Indication Text, Interactions.Interactions Text, Undesirable Effects.Undesirable Effect Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication",
      "path" : "ClinicalUseIssue.contraindication",
      "short" : "Specifics for when this is a contraindication",
      "definition" : "Specifics for when this is a contraindication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.id",
      "path" : "ClinicalUseIssue.contraindication.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" : "ClinicalUseIssue.contraindication.extension",
      "path" : "ClinicalUseIssue.contraindication.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" : "ClinicalUseIssue.contraindication.modifierExtension",
      "path" : "ClinicalUseIssue.contraindication.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" : "ClinicalUseIssue.contraindication.diseaseSymptomProcedure",
      "path" : "ClinicalUseIssue.contraindication.diseaseSymptomProcedure",
      "short" : "The situation that is being documented as contraindicating against this item",
      "definition" : "The situation that is being documented as contraindicating against this item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.diseaseSymptomProcedure",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Contraindications as \"Disease / Symptom / Procedure\" and Contraindication.Contraindications Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.diseaseStatus",
      "path" : "ClinicalUseIssue.contraindication.diseaseStatus",
      "short" : "The status of the disease or symptom for the contraindication",
      "definition" : "The status of the disease or symptom for the contraindication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.diseaseStatus",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Disease Status"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.comorbidity",
      "path" : "ClinicalUseIssue.contraindication.comorbidity",
      "short" : "A comorbidity (concurrent condition) or coinfection",
      "definition" : "A comorbidity (concurrent condition) or coinfection.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.comorbidity",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Comorbidity"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.indication",
      "path" : "ClinicalUseIssue.contraindication.indication",
      "short" : "The indication which this is a contraidication for",
      "definition" : "The indication which this is a contraidication for.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.indication",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the link from Contraindication to Therapeutic Indication)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy",
      "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication",
      "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.otherTherapy",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Other Therapy Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy.id",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.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" : "ClinicalUseIssue.contraindication.otherTherapy.extension",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.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" : "ClinicalUseIssue.contraindication.otherTherapy.modifierExtension",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.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" : "ClinicalUseIssue.contraindication.otherTherapy.relationshipType",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.relationshipType",
      "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
      "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.otherTherapy.relationshipType",
        "min" : 1,
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Other Therapy Specifics.Therapy Relationship Type"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy.therapy",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.therapy",
      "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
      "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.contraindication.otherTherapy.therapy",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance",
        "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Other Therapy Specifics.Medication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication",
      "path" : "ClinicalUseIssue.indication",
      "short" : "Specifics for when this is an indication",
      "definition" : "Specifics for when this is an indication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.indication",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.id",
      "path" : "ClinicalUseIssue.indication.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" : "ClinicalUseIssue.indication.extension",
      "path" : "ClinicalUseIssue.indication.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" : "ClinicalUseIssue.indication.modifierExtension",
      "path" : "ClinicalUseIssue.indication.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" : "ClinicalUseIssue.indication.diseaseSymptomProcedure",
      "path" : "ClinicalUseIssue.indication.diseaseSymptomProcedure",
      "short" : "The situation that is being documented as an indicaton for this item",
      "definition" : "The situation that is being documented as an indicaton for this item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.indication.diseaseSymptomProcedure",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Indication as \"Disease / Symptom / Procedure\", and Therapeutic Indication.Indication Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.diseaseStatus",
      "path" : "ClinicalUseIssue.indication.diseaseStatus",
      "short" : "The status of the disease or symptom for the indication",
      "definition" : "The status of the disease or symptom for the indication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.indication.diseaseStatus",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Disease Status"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.comorbidity",
      "path" : "ClinicalUseIssue.indication.comorbidity",
      "short" : "A comorbidity (concurrent condition) or coinfection as part of the indication",
      "definition" : "A comorbidity (concurrent condition) or coinfection as part of the indication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.indication.comorbidity",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Comorbidity"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.intendedEffect",
      "path" : "ClinicalUseIssue.indication.intendedEffect",
      "short" : "The intended effect, aim or strategy to be achieved",
      "definition" : "The intended effect, aim or strategy to be achieved.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.indication.intendedEffect",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Intended Effect"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.duration",
      "path" : "ClinicalUseIssue.indication.duration",
      "short" : "Timing or duration information",
      "definition" : "Timing or duration information.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.indication.duration",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity"
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Timing / Duration"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.undesirableEffect",
      "path" : "ClinicalUseIssue.indication.undesirableEffect",
      "short" : "The specific undesirable effects of the medicinal product",
      "definition" : "The specific undesirable effects of the medicinal product.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.indication.undesirableEffect",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Undesirable Effects"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.otherTherapy",
      "path" : "ClinicalUseIssue.indication.otherTherapy",
      "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
      "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.indication.otherTherapy",
        "min" : 0,
        "max" : "*"
      },
      "contentReference" : "#ClinicalUseIssue.contraindication.otherTherapy",
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Other Therapy Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction",
      "path" : "ClinicalUseIssue.interaction",
      "short" : "Specifics for when this is an interaction",
      "definition" : "Specifics for when this is an interaction.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.id",
      "path" : "ClinicalUseIssue.interaction.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" : "ClinicalUseIssue.interaction.extension",
      "path" : "ClinicalUseIssue.interaction.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" : "ClinicalUseIssue.interaction.modifierExtension",
      "path" : "ClinicalUseIssue.interaction.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" : "ClinicalUseIssue.interaction.interactant",
      "path" : "ClinicalUseIssue.interaction.interactant",
      "short" : "The specific medication, food, substance or laboratory test that interacts",
      "definition" : "The specific medication, food, substance or laboratory test that interacts.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.interactant",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactant and Interactions.Interactions Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.interactant.id",
      "path" : "ClinicalUseIssue.interaction.interactant.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" : "ClinicalUseIssue.interaction.interactant.extension",
      "path" : "ClinicalUseIssue.interaction.interactant.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" : "ClinicalUseIssue.interaction.interactant.modifierExtension",
      "path" : "ClinicalUseIssue.interaction.interactant.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" : "ClinicalUseIssue.interaction.interactant.item[x]",
      "path" : "ClinicalUseIssue.interaction.interactant.item[x]",
      "short" : "The specific medication, food or laboratory test that interacts",
      "definition" : "The specific medication, food or laboratory test that interacts.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.interactant.item[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance",
        "http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      },
      {
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactant and Interactions.Interactions Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.type",
      "path" : "ClinicalUseIssue.interaction.type",
      "short" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction",
      "definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Type"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.effect",
      "path" : "ClinicalUseIssue.interaction.effect",
      "short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
      "definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.effect",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Effect"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.incidence",
      "path" : "ClinicalUseIssue.interaction.incidence",
      "short" : "The incidence of the interaction, e.g. theoretical, observed",
      "definition" : "The incidence of the interaction, e.g. theoretical, observed.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.incidence",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Incidence"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.management",
      "path" : "ClinicalUseIssue.interaction.management",
      "short" : "Actions for managing the interaction",
      "definition" : "Actions for managing the interaction.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.interaction.management",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Management Actions"
      }]
    },
    {
      "id" : "ClinicalUseIssue.population",
      "path" : "ClinicalUseIssue.population",
      "short" : "The population group to which this applies",
      "definition" : "The population group to which this applies.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClinicalUseIssue.population",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Population"
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Population Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect",
      "path" : "ClinicalUseIssue.undesirableEffect",
      "short" : "A possible negative outcome from the use of this treatment",
      "definition" : "Describe the undesirable effects of the medicinal product.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.undesirableEffect",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.id",
      "path" : "ClinicalUseIssue.undesirableEffect.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" : "ClinicalUseIssue.undesirableEffect.extension",
      "path" : "ClinicalUseIssue.undesirableEffect.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" : "ClinicalUseIssue.undesirableEffect.modifierExtension",
      "path" : "ClinicalUseIssue.undesirableEffect.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" : "ClinicalUseIssue.undesirableEffect.symptomConditionEffect",
      "path" : "ClinicalUseIssue.undesirableEffect.symptomConditionEffect",
      "short" : "The situation in which the undesirable effect may manifest",
      "definition" : "The situation in which the undesirable effect may manifest.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.undesirableEffect.symptomConditionEffect",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Undesirable Effect as \"Symptom / Condition / Effect\""
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.classification",
      "path" : "ClinicalUseIssue.undesirableEffect.classification",
      "short" : "High level classification of the effect",
      "definition" : "High level classification of the effect.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.undesirableEffect.classification",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Symptom / Condition / Effect Classification"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.frequencyOfOccurrence",
      "path" : "ClinicalUseIssue.undesirableEffect.frequencyOfOccurrence",
      "short" : "How often the effect is seen",
      "definition" : "How often the effect is seen.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClinicalUseIssue.undesirableEffect.frequencyOfOccurrence",
        "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"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Frequency of Occurrence"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "ClinicalUseIssue",
      "path" : "ClinicalUseIssue",
      "short" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure",
      "definition" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
      "min" : 0,
      "max" : "*",
      "mustSupport" : false,
      "isModifier" : false,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication, Therapeutic Indication, Interactions, Undesirable Effects"
      },
      {
        "identity" : "w5",
        "map" : "clinical.general"
      }]
    },
    {
      "id" : "ClinicalUseIssue.identifier",
      "path" : "ClinicalUseIssue.identifier",
      "short" : "Business identifier for this issue",
      "definition" : "Business identifier for this issue.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.type",
      "path" : "ClinicalUseIssue.type",
      "short" : "indication | contraindication | interaction | undesirable-effect | warning",
      "definition" : "indication | contraindication | interaction | undesirable-effect | warning.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClinicalUseIssueType"
        }],
        "strength" : "required",
        "description" : "Overall defining type of this clinical use issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.6.0"
      },
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the type of IDMP class, out of Contraindication, Therapeutic Indication, Interactions, Undesirable Effects)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.category",
      "path" : "ClinicalUseIssue.category",
      "short" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\"",
      "definition" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.subject",
      "path" : "ClinicalUseIssue.subject",
      "short" : "The medication or procedure for which this is an indication",
      "definition" : "The medication or procedure for which this is an indication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
        "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
        "http://hl7.org/fhir/StructureDefinition/Substance"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the link between the IDMP class and Medicinal Product)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.status",
      "path" : "ClinicalUseIssue.status",
      "short" : "Whether this is a current issue or one that has been retired etc",
      "definition" : "Whether this is a current issue or one that has been retired etc.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClinicalUseIssue.description",
      "path" : "ClinicalUseIssue.description",
      "short" : "General description of an effect (particularly for a general warning, rather than any of the more specific types such as indication) for when a distinct coded or textual description is not appropriate using  Indication.diseaseSymptomProcedure.text, Contraindication.diseaseSymptomProcedure.text etc. For example \"May affect ability to drive\"",
      "definition" : "General description of an effect (particularly for a general warning, rather than any of the more specific types such as indication) for when a distinct coded or textual description is not appropriate using  Indication.diseaseSymptomProcedure.text, Contraindication.diseaseSymptomProcedure.text etc. For example \"May affect ability to drive\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "n/a (this is not intended for the specifics of Contraindication.Contraindications Text, Therapeutic Indication.Indication Text, Interactions.Interactions Text, Undesirable Effects.Undesirable Effect Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication",
      "path" : "ClinicalUseIssue.contraindication",
      "short" : "Specifics for when this is a contraindication",
      "definition" : "Specifics for when this is a contraindication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.diseaseSymptomProcedure",
      "path" : "ClinicalUseIssue.contraindication.diseaseSymptomProcedure",
      "short" : "The situation that is being documented as contraindicating against this item",
      "definition" : "The situation that is being documented as contraindicating against this item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Contraindications as \"Disease / Symptom / Procedure\" and Contraindication.Contraindications Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.diseaseStatus",
      "path" : "ClinicalUseIssue.contraindication.diseaseStatus",
      "short" : "The status of the disease or symptom for the contraindication",
      "definition" : "The status of the disease or symptom for the contraindication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Disease Status"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.comorbidity",
      "path" : "ClinicalUseIssue.contraindication.comorbidity",
      "short" : "A comorbidity (concurrent condition) or coinfection",
      "definition" : "A comorbidity (concurrent condition) or coinfection.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Comorbidity"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.indication",
      "path" : "ClinicalUseIssue.contraindication.indication",
      "short" : "The indication which this is a contraidication for",
      "definition" : "The indication which this is a contraidication for.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "(the link from Contraindication to Therapeutic Indication)"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy",
      "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication",
      "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Contraindication.Other Therapy Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy.relationshipType",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.relationshipType",
      "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
      "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Other Therapy Specifics.Therapy Relationship Type"
      }]
    },
    {
      "id" : "ClinicalUseIssue.contraindication.otherTherapy.therapy",
      "path" : "ClinicalUseIssue.contraindication.otherTherapy.therapy",
      "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
      "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance",
        "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Other Therapy Specifics.Medication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication",
      "path" : "ClinicalUseIssue.indication",
      "short" : "Specifics for when this is an indication",
      "definition" : "Specifics for when this is an indication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.diseaseSymptomProcedure",
      "path" : "ClinicalUseIssue.indication.diseaseSymptomProcedure",
      "short" : "The situation that is being documented as an indicaton for this item",
      "definition" : "The situation that is being documented as an indicaton for this item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Indication as \"Disease / Symptom / Procedure\", and Therapeutic Indication.Indication Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.diseaseStatus",
      "path" : "ClinicalUseIssue.indication.diseaseStatus",
      "short" : "The status of the disease or symptom for the indication",
      "definition" : "The status of the disease or symptom for the indication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Disease Status"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.comorbidity",
      "path" : "ClinicalUseIssue.indication.comorbidity",
      "short" : "A comorbidity (concurrent condition) or coinfection as part of the indication",
      "definition" : "A comorbidity (concurrent condition) or coinfection as part of the indication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Comorbidity"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.intendedEffect",
      "path" : "ClinicalUseIssue.indication.intendedEffect",
      "short" : "The intended effect, aim or strategy to be achieved",
      "definition" : "The intended effect, aim or strategy to be achieved.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Intended Effect"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.duration",
      "path" : "ClinicalUseIssue.indication.duration",
      "short" : "Timing or duration information",
      "definition" : "Timing or duration information.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Timing / Duration"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.undesirableEffect",
      "path" : "ClinicalUseIssue.indication.undesirableEffect",
      "short" : "The specific undesirable effects of the medicinal product",
      "definition" : "The specific undesirable effects of the medicinal product.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Undesirable Effects"
      }]
    },
    {
      "id" : "ClinicalUseIssue.indication.otherTherapy",
      "path" : "ClinicalUseIssue.indication.otherTherapy",
      "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
      "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
      "min" : 0,
      "max" : "*",
      "contentReference" : "#ClinicalUseIssue.contraindication.otherTherapy",
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Therapeutic Indication.Other Therapy Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction",
      "path" : "ClinicalUseIssue.interaction",
      "short" : "Specifics for when this is an interaction",
      "definition" : "Specifics for when this is an interaction.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.interactant",
      "path" : "ClinicalUseIssue.interaction.interactant",
      "short" : "The specific medication, food, substance or laboratory test that interacts",
      "definition" : "The specific medication, food, substance or laboratory test that interacts.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactant and Interactions.Interactions Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.interactant.item[x]",
      "path" : "ClinicalUseIssue.interaction.interactant.item[x]",
      "short" : "The specific medication, food or laboratory test that interacts",
      "definition" : "The specific medication, food or laboratory test that interacts.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance",
        "http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      },
      {
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactant and Interactions.Interactions Text"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.type",
      "path" : "ClinicalUseIssue.interaction.type",
      "short" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction",
      "definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Type"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.effect",
      "path" : "ClinicalUseIssue.interaction.effect",
      "short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
      "definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Effect"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.incidence",
      "path" : "ClinicalUseIssue.interaction.incidence",
      "short" : "The incidence of the interaction, e.g. theoretical, observed",
      "definition" : "The incidence of the interaction, e.g. theoretical, observed.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Interactions Incidence"
      }]
    },
    {
      "id" : "ClinicalUseIssue.interaction.management",
      "path" : "ClinicalUseIssue.interaction.management",
      "short" : "Actions for managing the interaction",
      "definition" : "Actions for managing the interaction.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Interactions.Management Actions"
      }]
    },
    {
      "id" : "ClinicalUseIssue.population",
      "path" : "ClinicalUseIssue.population",
      "short" : "The population group to which this applies",
      "definition" : "The population group to which this applies.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Population"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Population Specifics"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect",
      "path" : "ClinicalUseIssue.undesirableEffect",
      "short" : "A possible negative outcome from the use of this treatment",
      "definition" : "Describe the undesirable effects of the medicinal product.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.symptomConditionEffect",
      "path" : "ClinicalUseIssue.undesirableEffect.symptomConditionEffect",
      "short" : "The situation in which the undesirable effect may manifest",
      "definition" : "The situation in which the undesirable effect may manifest.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableReference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Undesirable Effect as \"Symptom / Condition / Effect\""
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.classification",
      "path" : "ClinicalUseIssue.undesirableEffect.classification",
      "short" : "High level classification of the effect",
      "definition" : "High level classification of the effect.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Symptom / Condition / Effect Classification"
      }]
    },
    {
      "id" : "ClinicalUseIssue.undesirableEffect.frequencyOfOccurrence",
      "path" : "ClinicalUseIssue.undesirableEffect.frequencyOfOccurrence",
      "short" : "How often the effect is seen",
      "definition" : "How often the effect is seen.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "idmp",
        "map" : "Undesirable Effects.Frequency of Occurrence"
      }]
    }]
  }
}

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.