ehr
type: StructureDefinition
node role: treeRoot
id:
  v: ehr
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition ehr Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Extension 0..* Extension EHR Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url extension:developer S 0..1 Extension Developer url 1..1 uri "developer" value[x] 1..1 string Developer extension:product S 0..1 Extension Product url 1..1 uri "product" value[x] 1..1 string Product extension:version S 0..1 Extension version url 1..1 uri "version" value[x] 1..1 string Version extension:certificationEdition S 0..1 Extension Certification edition url 1..1 uri "certificationEdition" value[x] 1..1 Coding Certification edition Binding: VhDir Certification Edition Value Set (example) extension:patientAccess S 0..* Extension Patient acccess url 1..1 uri "patientAccess" value[x] 1..1 CodeableConcept Patient access Binding: VhDir Ehr Patient Access Value Set (example) extension:certificationID S 0..1 Extension Certification ID url 1..1 uri "certificationID" value[x] 1..1 string Certification ID url 1..1 uri "http://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr" value[x] S 0..0 <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: pa
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 2
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value: canonical
        v: http://hl7.org/fhir/uv/vhdir/ImplementationGuide/hl7.fhir.uv.vhdir
        link: http://hl7.org/fhir/uv/vhdir/ImplementationGuide/hl7.fhir.uv.vhdir
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value: canonical
        v: http://hl7.org/fhir/uv/vhdir/ImplementationGuide/hl7.fhir.uv.vhdir
        link: http://hl7.org/fhir/uv/vhdir/ImplementationGuide/hl7.fhir.uv.vhdir
url:
  v: http://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr
version:
  v: 1.0.0
name:
  v: EHR
title:
  v: VhDir Ehr
status:
  v: active
date:
  v: 2017-11-13T14:19:15.411-05:00
publisher:
  v: HL7 International / Patient Administration
contact:
  name:
    v: HL7 International / Patient Administration
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/pafm
  telecom:
    system:
      v: email
description:
  v: Information about the EHR system/module used at a location
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
    display:
      v: World
copyright:
  v: Used by permission of HL7 International all rights reserved Creative Commons License
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context:
  type:
    v: element
  expression:
    v: Location
type:
  v: Extension
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: EHR
    definition:
      v: Information about the EHR system/module used at a location
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Extension
      min:
        v: 0
      max:
        v: *
    condition:
      v: ele-1
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element
    constraint:
      key:
        v: ext-1
      severity:
        v: error
      human:
        v: Must have either extensions or value[x], not both
      expression:
        v: extension.exists() != value.exists()
      xpath:
        v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      source:
        v: http://hl7.org/fhir/StructureDefinition/Extension
        link: http://hl7.org/fhir/StructureDefinition/Extension
    is modifier:
      v: false
  element:
    id:
      v: Extension.id
    path:
      v: Extension.id
    representation:
      v: xmlAttr
    short:
      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Element.id
      min:
        v: 0
      max:
        v: 1
    type:
      extension:
        value: url
      code:
        v: http://hl7.org/fhirpath/System.String
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: Extension.extension
    path:
      v: Extension.extension
    slicing:
      description:
        v: Extensions are always sliced by (at least) url
      rules:
        v: open
    short:
      v: Extension

url
v: string

v: value

v: url

v: An Extension

v: 0

v: *

path:
  v: Element.extension
min:
  v: 0
max:
  v: *

code:
  v: Extension

key:
  v: ele-1
severity:
  v: error
human:
  v: All FHIR elements must have a @value or children
expression:
  v: hasValue() or (children().count() > id.count())
xpath:
  v: @value|f:*|h:div
source:
  v: http://hl7.org/fhir/StructureDefinition/Element
  link: http://hl7.org/fhir/StructureDefinition/Element

key:
  v: ext-1
severity:
  v: error
human:
  v: Must have either extensions or value[x], not both
expression:
  v: extension.exists() != value.exists()
xpath:
  v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
source:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension

v: false

v: false

v: false

id:
  v: Extension.extension:developer
path:
  v: Extension.extension
slice name:
  v: developer
label:
  v: developer
short:
  v: Developer
definition:
  v: The developer of the EHR product
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:developer.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:developer.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:developer.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: developer
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:developer.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: developer
short:
  v: Developer
definition:
  v: The developer of the EHR product
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:product
path:
  v: Extension.extension
slice name:
  v: product
label:
  v: product
short:
  v: Product
definition:
  v: The name of the EHR product
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:product.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:product.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:product.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: product
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:product.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: product
short:
  v: Product
definition:
  v: The name of the EHR product
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:version
path:
  v: Extension.extension
slice name:
  v: version
label:
  v: version
short:
  v: version
definition:
  v: Version of the EHR product
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:version.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:version.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:version.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: version
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:version.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: version
short:
  v: Version
definition:
  v: Version of the EHR product
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  v: 1
max:
  v: 1
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  path:
    v: Extension.value[x]
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    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:certificationEdition
path:
  v: Extension.extension
slice name:
  v: certificationEdition
label:
  v: certificationEdition
short:
  v: Certification edition
definition:
  v: Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)
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  v: 0
max:
  v: 1
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  path:
    v: Element.extension
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    v: 0
  max:
    v: *
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  code:
    v: Extension
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  key:
    v: ele-1
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:certificationEdition.id
path:
  v: Extension.extension.id
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  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
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  extension:
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      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
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  identity:
    v: rim
  map:
    v: n/a

id:
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path:
  v: Extension.extension.extension
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      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
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  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:certificationEdition.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: certificationEdition
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:certificationEdition.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: certificationEdition
short:
  v: Certification edition
definition:
  v: Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)
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  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition
    link: http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:patientAccess
path:
  v: Extension.extension
slice name:
  v: patientAccess
label:
  v: patientAccess
short:
  v: Patient acccess
definition:
  v: Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it
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  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
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  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:patientAccess.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
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    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
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    v: http://hl7.org/fhirpath/System.String
is modifier:
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is summary:
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  identity:
    v: rim
  map:
    v: n/a

id:
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path:
  v: Extension.extension.extension
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  discriminator:
    type:
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    path:
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  description:
    v: Extensions are always sliced by (at least) url
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    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
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  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
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is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
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representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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  v: 1
base:
  path:
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  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: uri
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    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: patientAccess
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:patientAccess.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: patientAccess
short:
  v: Patient access
definition:
  v: Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it
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  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
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is summary:
  v: false
binding:
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess
    link: http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:certificationID
path:
  v: Extension.extension
slice name:
  v: certificationID
label:
  v: certificationID
short:
  v: Certification ID
definition:
  v: Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product
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max:
  v: 1
base:
  path:
    v: Element.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
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  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
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  v: false
is summary:
  v: false

id:
  v: Extension.extension:certificationID.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: 0
max:
  v: 1
base:
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    v: Element.id
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    v: 0
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    v: 1
type:
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      v: string
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    v: http://hl7.org/fhirpath/System.String
is modifier:
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is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
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path:
  v: Extension.extension.extension
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  discriminator:
    type:
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    path:
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    v: Extensions are always sliced by (at least) url
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short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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.
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  v: user content
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  v: *
base:
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    v: 0
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type:
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    v: ele-1
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  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    link: http://hl7.org/fhir/StructureDefinition/Extension
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  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:certificationID.url
path:
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representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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    v: 1
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type:
  extension:
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    value: url
      v: uri
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fixed: uri
  v: certificationID
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  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:certificationID.value[x]
path:
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label:
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  v: Certification ID
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max:
  v: 1
base:
  path:
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    v: 0
  max:
    v: 1
type:
  code:
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  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
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    value: url
      v: uri
  code:
    v: http://hl7.org/fhirpath/System.String
fixed: uri
  v: http://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
  v: Extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
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  v: 0
base:
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    v: 0
  max:
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type:
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    v: base64Binary
type:
  code:
    v: boolean
type:
  code:
    v: canonical
type:
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type:
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type:
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type:
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type:
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type:
  code:
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type:
  code:
    v: integer
type:
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type:
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type:
  code:
    v: time
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  code:
    v: unsignedInt
type:
  code:
    v: uri
type:
  code:
    v: url
type:
  code:
    v: uuid
type:
  code:
    v: Address
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  code:
    v: Age
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  code:
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type:
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type:
  code:
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type:
  code:
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type:
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type:
  code:
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type:
  code:
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    v: Identifier
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    v: Money
type:
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    v: Quantity
type:
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    v: Range
type:
  code:
    v: Ratio
type:
  code:
    v: Reference
type:
  code:
    v: SampledData
type:
  code:
    v: Signature
type:
  code:
    v: Timing
type:
  code:
    v: ContactDetail
type:
  code:
    v: Contributor
type:
  code:
    v: DataRequirement
type:
  code:
    v: Expression
type:
  code:
    v: ParameterDefinition
type:
  code:
    v: RelatedArtifact
type:
  code:
    v: TriggerDefinition
type:
  code:
    v: UsageContext
type:
  code:
    v: Dosage
type:
  code:
    v: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: EHR
  definition:
    v: Information about the EHR system/module used at a location
element:
  id:
    v: Extension.extension
  path:
    v: Extension.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    rules:
      v: open
  must support:
    v: false
element:
  id:
    v: Extension.extension:developer
  path:
    v: Extension.extension
  slice name:
    v: developer
  label:
    v: developer
  short:
    v: Developer
  definition:
    v: The developer of the EHR product
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:developer.url
  path:
    v: Extension.extension.url
  fixed: uri
    v: developer
element:
  id:
    v: Extension.extension:developer.value[x]
  path:
    v: Extension.extension.value[x]
  label:
    v: developer
  short:
    v: Developer
  definition:
    v: The developer of the EHR product
  min:
    v: 1
  type:
    code:
      v: string
element:
  id:
    v: Extension.extension:product
  path:
    v: Extension.extension
  slice name:
    v: product
  label:
    v: product
  short:
    v: Product
  definition:
    v: The name of the EHR product
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:product.url
  path:
    v: Extension.extension.url
  fixed: uri
    v: product
element:
  id:
    v: Extension.extension:product.value[x]
  path:
    v: Extension.extension.value[x]
  label:
    v: product
  short:
    v: Product
  definition:
    v: The name of the EHR product
  min:
    v: 1
  type:
    code:
      v: string
element:
  id:
    v: Extension.extension:version
  path:
    v: Extension.extension
  slice name:
    v: version
  label:
    v: version
  short:
    v: version
  definition:
    v: Version of the EHR product
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:version.url
  path:
    v: Extension.extension.url
  fixed: uri
    v: version
element:
  id:
    v: Extension.extension:version.value[x]
  path:
    v: Extension.extension.value[x]
  label:
    v: version
  short:
    v: Version
  definition:
    v: Version of the EHR product
  min:
    v: 1
  type:
    code:
      v: string
element:
  id:
    v: Extension.extension:certificationEdition
  path:
    v: Extension.extension
  slice name:
    v: certificationEdition
  label:
    v: certificationEdition
  short:
    v: Certification edition
  definition:
    v: Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:certificationEdition.url
  path:
    v: Extension.extension.url
  fixed: uri
    v: certificationEdition
element:
  id:
    v: Extension.extension:certificationEdition.value[x]
  path:
    v: Extension.extension.value[x]
  label:
    v: certificationEdition
  short:
    v: Certification edition
  definition:
    v: Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)
  min:
    v: 1
  type:
    code:
      v: Coding
  binding:
    strength:
      v: example
    value set:
      v: http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition
      link: http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition
element:
  id:
    v: Extension.extension:patientAccess
  path:
    v: Extension.extension
  slice name:
    v: patientAccess
  label:
    v: patientAccess
  short:
    v: Patient acccess

v: Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

v: true

id:
  v: Extension.extension:patientAccess.url
path:
  v: Extension.extension.url
fixed: uri
  v: patientAccess

id:
  v: Extension.extension:patientAccess.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: patientAccess
short:
  v: Patient access
definition:
  v: Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it
min:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess
    link: http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess

id:
  v: Extension.extension:certificationID
path:
  v: Extension.extension
slice name:
  v: certificationID
label:
  v: certificationID
short:
  v: Certification ID
definition:
  v: Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product
max:
  v: 1
must support:
  v: true

id:
  v: Extension.extension:certificationID.url
path:
  v: Extension.extension.url
fixed: uri
  v: certificationID

id:
  v: Extension.extension:certificationID.value[x]
path:
  v: Extension.extension.value[x]
label:
  v: certificationID
short:
  v: Certification ID
definition:
  v: Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product
min:
  v: 1
type:
  code:
    v: string

id:
  v: Extension.url
path:
  v: Extension.url
fixed: uri
  v: http://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
max:
  v: 0
must support:
  v: true