clinical-use-definition-interaction-uv-epi
type: StructureDefinition
node role: treeRoot
id:
  v: clinical-use-definition-interaction-uv-epi
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition clinical-use-definition-interaction-uv-epi Language: en Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ClinicalUseDefinition 0..* ClinicalUseDefinition A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure #xD; id 1..1 id Logical id of this artifact #xD; meta 1..1 Meta Metadata about the resource #xD; profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to #xD; identifier 1..* Identifier Business identifier for this issue #xD; system 1..1 uri The namespace for the identifier value #xD; value 1..1 string The value that is unique #xD; type 1..1 code indication | contraindication | interaction | undesirable-effect | warning Fixed Value: interaction #xD; category 1..* CodeableConcept A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" #xD; subject 1..* Reference(MedicinalProductDefinition (ePI)) The medication, product, substance, device, procedure etc. for which this is an indication #xD; status 1..1 CodeableConcept Whether this is a current issue or one that has been retired etc #xD; interaction 1..1 BackboneElement Specifics for when this is an interaction #xD; interactant 0..* BackboneElement The specific medication, product, food etc. or laboratory test that interacts #xD; item[x] 1..1 Reference(MedicinalProductDefinition | Medication | Substance | NutritionProduct | BiologicallyDerivedProduct | ObservationDefinition), CodeableConcept The specific medication, product, food etc. or laboratory test that interacts #xD; type 0..1 CodeableConcept The type of the interaction e.g. drug-drug interaction, drug-lab test interaction #xD; effect 0..1 CodeableReference(ObservationDefinition) The effect of the interaction, for example "reduced gastric absorption of primary medi…
url:
  v: http://hl7.org/fhir/uv/emedicinal-product-info/StructureDefinition/ClinicalUseDefinition-interaction-uv-epi
  l: ClinicalUseDefinition-interaction-uv-epi
version:
  v: 1.1.0
name:
  v: ClinicalUseDefinitionInteractionUvEpi
title:
  v: ClinicalUseDefinition Interaction (ePI)
status:
  v: active
date:
  v: 2026-01-02T05:49:34+00:00
publisher:
  v: HL7 International - Biomedical Research & Regulation Work Group
contact:
  name:
    v: HL7 International - Biomedical Research & Regulation Work Group
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org/Special/committees/rcrim
description:
  v: ClinicalUseDefinition Interaction (ePI) - Profile for Interaction
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: idmp
  uri:
    v: https://www.iso.org/obp/ui/#iso:std:iso:11615
    l: iso:std:iso:11615
  name:
    v: IDMP Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ClinicalUseDefinition
  l: ClinicalUseDefinition
base definition:
  v: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
  l: ClinicalUseDefinition
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 5.0.0
  element:
    id:
      v: ClinicalUseDefinition
    path:
      v: ClinicalUseDefinition
    short:
      v: A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
    definition:
      v: A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ClinicalUseDefinition
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: cud-1
      severity:
        v: error
      human:
        v: Indication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance
      expression:
        v: (ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2
      source:
        v: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
        l: ClinicalUseDefinition
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim

Boolean
v: true

Markdown
v: 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.

v: Entity, Role, or Act

identity:
  v: workflow
map:
  v: Definition

identity:
  v: w5
map:
  v: clinical.general

identity:
  v: idmp
map:
  v: Contraindication, Therapeutic Indication, Interactions, Undesirable Effects

id:
  v: ClinicalUseDefinition.id
path:
  v: ClinicalUseDefinition.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta
path:
  v: ClinicalUseDefinition.meta
short:
  v: Metadata about the resource
definition:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta.id
path:
  v: ClinicalUseDefinition.meta.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
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.meta.extension
path:
  v: ClinicalUseDefinition.meta.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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.meta.versionId
path:
  v: ClinicalUseDefinition.meta.versionId
short:
  v: Version specific identifier
definition:
  v: The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
comment:
  v: The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.versionId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta.lastUpdated
path:
  v: ClinicalUseDefinition.meta.lastUpdated
short:
  v: When the resource version last changed
definition:
  v: When the resource last changed - e.g. when the version changed.
comment:
  v: This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R5/http.html#read) interaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.lastUpdated
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta.source
path:
  v: ClinicalUseDefinition.meta.source
short:
  v: Identifies where the resource comes from
definition:
  v: A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R5/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
comment:
  v: The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta.profile
path:
  v: ClinicalUseDefinition.meta.profile
short:
  v: Profiles this resource claims to conform to
definition:
  v: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url).
comment:
  v: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Meta.profile
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: canonical
    l: canonical
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/StructureDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/StructureDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalUseDefinition.meta.security
path:
  v: ClinicalUseDefinition.meta.security
short:
  v: Security Labels applied to this resource
definition:
  v: Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
comment:
  v: The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.security
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set:
    v: http://hl7.org/fhir/ValueSet/security-labels|5.0.0
    l: http://hl7.org/fhir/ValueSet/security-labels

id:
  v: ClinicalUseDefinition.meta.tag
path:
  v: ClinicalUseDefinition.meta.tag
short:
  v: Tags applied to this resource
definition:
  v: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
comment:
  v: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.tag
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Tags
  strength:
    v: example
  description:
    v: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
  value set:
    v: http://hl7.org/fhir/ValueSet/common-tags|5.0.0
    l: http://hl7.org/fhir/ValueSet/common-tags

id:
  v: ClinicalUseDefinition.implicitRules
path:
  v: ClinicalUseDefinition.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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:
  v: 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 its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: ClinicalUseDefinition.language
path:
  v: ClinicalUseDefinition.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|5.0.0
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ClinicalUseDefinition.text
path:
  v: ClinicalUseDefinition.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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:
  v: 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:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ClinicalUseDefinition.contained
path:
  v: ClinicalUseDefinition.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: 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:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.extension
path:
  v: ClinicalUseDefinition.extension
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 resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.modifierExtension
path:
  v: ClinicalUseDefinition.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.identifier
path:
  v: ClinicalUseDefinition.identifier
short:
  v: Business identifier for this issue
definition:
  v: Business identifier for this issue.
min:
  v: 1
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Definition.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.identifier.id
path:
  v: ClinicalUseDefinition.identifier.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
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.identifier.extension
path:
  v: ClinicalUseDefinition.identifier.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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.identifier.use
path:
  v: ClinicalUseDefinition.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: ClinicalUseDefinition.identifier.type
path:
  v: ClinicalUseDefinition.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: ClinicalUseDefinition.identifier.system
path:
  v: ClinicalUseDefinition.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: ClinicalUseDefinition.identifier.value
path:
  v: ClinicalUseDefinition.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ident-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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: ClinicalUseDefinition.identifier.period
path:
  v: ClinicalUseDefinition.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: ClinicalUseDefinition.identifier.assigner
path:
  v: ClinicalUseDefinition.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Organization
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: ClinicalUseDefinition.type
path:
  v: ClinicalUseDefinition.type
short:
  v: indication | contraindication | interaction | undesirable-effect | warning
definition:
  v: indication | contraindication | interaction | undesirable-effect | warning.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
fixed: Code
  v: interaction
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalUseDefinitionType
  strength:
    v: required
  description:
    v: Overall defining type of this clinical use definition.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinical-use-definition-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/clinical-use-definition-type
mapping:
  identity:
    v: idmp
  map:
    v: (the type of IDMP class, out of Contraindication, Therapeutic Indication, Interactions, Undesirable Effects)

id:
  v: ClinicalUseDefinition.category
path:
  v: ClinicalUseDefinition.category
short:
  v: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose"
definition:
  v: 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:
  v: 1
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalUseDefinitionCategory
  strength:
    v: preferred
  description:
    v: A categorisation for a clinical use information item.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinical-use-definition-category|5.0.0
    l: http://hl7.org/fhir/ValueSet/clinical-use-definition-category
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.subject
path:
  v: ClinicalUseDefinition.subject
short:
  v: The medication, product, substance, device, procedure etc. for which this is an indication
definition:
  v: The medication, product, substance, device, procedure etc. for which this is an indication.
min:
  v: 1
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.subject
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/uv/emedicinal-product-info/StructureDefinition/MedicinalProductDefinition-uv-epi
    l: MedicinalProductDefinition-uv-epi
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Definition.subject
mapping:
  identity:
    v: idmp
  map:
    v: (the link between the IDMP class and Medicinal Product)

id:
  v: ClinicalUseDefinition.status
path:
  v: ClinicalUseDefinition.status
short:
  v: Whether this is a current issue or one that has been retired etc
definition:
  v: Whether this is a current issue or one that has been retired etc.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.status
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: PublicationStatus
  strength:
    v: preferred
  description:
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    l: http://hl7.org/fhir/ValueSet/publication-status
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    v: workflow
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id:
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id:
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path:
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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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
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    v: error
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    v: Must have either extensions or value[x], not both
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id:
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path:
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short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
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alias:
  v: user content
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    l: Extension
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: Must have either extensions or value[x], not both
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id:
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path:
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  v: The situation that is being documented as contraindicating against this item
definition:
  v: The situation that is being documented as contraindicating against this item.
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type:
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    v: ele-1
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    v: All FHIR elements must have a @value or children
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  v: false
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  v: false
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  v: true
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    v: A symptom, disease or procedure.
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    l: http://hl7.org/fhir/ValueSet/disease-symptom-procedure
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    v: idmp
  map:
    v: Contraindication.Contraindications as "Disease / Symptom / Procedure" and Contraindication.Contraindications Text

id:
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path:
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short:
  v: The status of the disease or symptom for the contraindication
definition:
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    v: error
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    v: All FHIR elements must have a @value or children
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    l: http://hl7.org/fhir/ValueSet/disease-status
mapping:
  identity:
    v: idmp
  map:
    v: Contraindication.Disease Status

id:
  v: ClinicalUseDefinition.contraindication.comorbidity
path:
  v: ClinicalUseDefinition.contraindication.comorbidity
short:
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definition:
  v: A comorbidity (concurrent condition) or coinfection.
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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    l: http://hl7.org/fhir/ValueSet/disease-symptom-procedure
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  identity:
    v: idmp
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    v: Contraindication.Comorbidity

id:
  v: ClinicalUseDefinition.contraindication.indication
path:
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definition:
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    l: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
constraint:
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    v: ele-1
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    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: false
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  v: false
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  v: true
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    v: (the link from Contraindication to Therapeutic Indication)

id:
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path:
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  v: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements
definition:
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comment:
  v: The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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  v: false
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  v: false
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  v: false
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
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path:
  v: ClinicalUseDefinition.contraindication.otherTherapy
short:
  v: Information about use of the product in relation to other therapies described as part of the contraindication
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  v: Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.
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    v: All FHIR elements must have a @value or children
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  v: false
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  identity:
    v: idmp
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    v: Contraindication.Other Therapy Specifics

id:
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  v: Unique id for inter-element referencing
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  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: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
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    v: http://hl7.org/fhirpath/System.String
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  identity:
    v: rim
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    v: n/a

id:
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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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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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alias:
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
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    v: All FHIR elements must have a @value or children
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id:
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path:
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definition:
  v: The type of relationship between the medicinal product indication or contraindication and another therapy.
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    v: error
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    v: All FHIR elements must have a @value or children
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  v: false
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  v: false
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      l: elementdefinition-bindingName
    value: String
      v: TherapyRelationshipType
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    l: http://hl7.org/fhir/ValueSet/therapy-relationship-type
mapping:
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  map:
    v: Other Therapy Specifics.Therapy Relationship Type

id:
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path:
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short:
  v: Reference to a specific medication, substance etc. as part of an indication or contraindication
definition:
  v: Reference to a specific medication (active substance, medicinal product or class of products, biological, food etc.) as part of an indication or contraindication.
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type:
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    v: http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Medication
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Substance|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Substance
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/SubstanceDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/SubstanceDefinition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/NutritionProduct|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/NutritionProduct
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    v: http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ActivityDefinition
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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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Therapy
  strength:
    v: example
  description:
    v: A therapy.
  value set:
    v: http://hl7.org/fhir/ValueSet/therapy|5.0.0
    l: http://hl7.org/fhir/ValueSet/therapy
mapping:
  identity:
    v: idmp
  map:
    v: Other Therapy Specifics.Medication

id:
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path:
  v: ClinicalUseDefinition.indication
short:
  v: Specifics for when this is an indication
definition:
  v: Specifics for when this is an indication.
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    v: ClinicalUseDefinition.indication
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    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
condition:
  v: cud-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    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
    l: Element
must support:
  v: false
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mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication

id:
  v: ClinicalUseDefinition.indication.id
path:
  v: ClinicalUseDefinition.indication.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
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.indication.extension
path:
  v: ClinicalUseDefinition.indication.extension
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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.indication.modifierExtension
path:
  v: ClinicalUseDefinition.indication.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
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    v: extension.exists() != value.exists()
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    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
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  v: true
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  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.indication.diseaseSymptomProcedure
path:
  v: ClinicalUseDefinition.indication.diseaseSymptomProcedure
short:
  v: The situation that is being documented as an indicaton for this item
definition:
  v: The situation that is being documented as an indicaton for this item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.indication.diseaseSymptomProcedure
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    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiseaseSymptomProcedure
  strength:
    v: example
  description:
    v: A symptom, disease or procedure.
  value set:
    v: http://hl7.org/fhir/ValueSet/disease-symptom-procedure|5.0.0
    l: http://hl7.org/fhir/ValueSet/disease-symptom-procedure
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Indication as "Disease / Symptom / Procedure", and Therapeutic Indication.Indication Text

id:
  v: ClinicalUseDefinition.indication.diseaseStatus
path:
  v: ClinicalUseDefinition.indication.diseaseStatus
short:
  v: The status of the disease or symptom for the indication
definition:
  v: The status of the disease or symptom for the indication, for example "chronic" or "metastatic".
min:
  v: 0
max:
  v: 1
base:
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    v: ClinicalUseDefinition.indication.diseaseStatus
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    v: 1
type:
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    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
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  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiseaseStatus
  strength:
    v: example
  description:
    v: The status of a disease or symptom.
  value set:
    v: http://hl7.org/fhir/ValueSet/disease-status|5.0.0
    l: http://hl7.org/fhir/ValueSet/disease-status
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Disease Status

id:
  v: ClinicalUseDefinition.indication.comorbidity
path:
  v: ClinicalUseDefinition.indication.comorbidity
short:
  v: A comorbidity or coinfection as part of the indication
definition:
  v: A comorbidity (concurrent condition) or coinfection as part of the indication.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.indication.comorbidity
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    v: 0
  max:
    v: *
type:
  code:
    v: CodeableReference
    l: CodeableReference
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    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
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  v: false
is summary:
  v: true
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  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiseaseSymptomProcedure
  strength:
    v: example
  description:
    v: A symptom, disease or procedure.
  value set:
    v: http://hl7.org/fhir/ValueSet/disease-symptom-procedure|5.0.0
    l: http://hl7.org/fhir/ValueSet/disease-symptom-procedure
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Comorbidity

id:
  v: ClinicalUseDefinition.indication.intendedEffect
path:
  v: ClinicalUseDefinition.indication.intendedEffect
short:
  v: The intended effect, aim or strategy to be achieved
definition:
  v: The intended effect, aim or strategy to be achieved.
min:
  v: 0
max:
  v: 1
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    v: ClinicalUseDefinition.indication.intendedEffect
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    v: 0
  max:
    v: 1
type:
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    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProductIntendedUse
  strength:
    v: preferred
  description:
    v: The overall intended use of a product.
  value set:
    v: http://hl7.org/fhir/ValueSet/product-intended-use|5.0.0
    l: http://hl7.org/fhir/ValueSet/product-intended-use
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Intended Effect

id:
  v: ClinicalUseDefinition.indication.duration[x]
path:
  v: ClinicalUseDefinition.indication.duration[x]
short:
  v: Timing or duration information
definition:
  v: Timing or duration information, that may be associated with use with the indicated condition e.g. Adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.indication.duration[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: string
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Timing / Duration

id:
  v: ClinicalUseDefinition.indication.undesirableEffect
path:
  v: ClinicalUseDefinition.indication.undesirableEffect
short:
  v: An unwanted side effect or negative outcome of the subject of this resource when being used for this indication
definition:
  v: An unwanted side effect or negative outcome that may happen if you use the drug (or other subject of this resource) for this indication.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.indication.undesirableEffect
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    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Undesirable Effects

id:
  v: ClinicalUseDefinition.indication.applicability
path:
  v: ClinicalUseDefinition.indication.applicability
short:
  v: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements
definition:
  v: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements.
comment:
  v: The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.indication.applicability
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    v: 0
  max:
    v: 1
type:
  code:
    v: Expression
    l: Expression
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.indication.otherTherapy
path:
  v: ClinicalUseDefinition.indication.otherTherapy
short:
  v: The use of the medicinal product in relation to other therapies described as part of the indication
definition:
  v: Information about the use of the medicinal product in relation to other therapies described as part of the indication.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.indication.otherTherapy
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition#ClinicalUseDefinition.contraindication.otherTherapy
  l: ClinicalUseDefinition.contraindication.otherTherapy
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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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Therapeutic Indication.Other Therapy Specifics

id:
  v: ClinicalUseDefinition.interaction
path:
  v: ClinicalUseDefinition.interaction
short:
  v: Specifics for when this is an interaction
definition:
  v: Specifics for when this is an interaction.
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  v: 1
max:
  v: 1
base:
  path:
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    v: 0
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    v: 1
type:
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    l: BackboneElement
condition:
  v: cud-1
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  key:
    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Interactions

id:
  v: ClinicalUseDefinition.interaction.id
path:
  v: ClinicalUseDefinition.interaction.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
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.interaction.extension
path:
  v: ClinicalUseDefinition.interaction.extension
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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.interaction.modifierExtension
path:
  v: ClinicalUseDefinition.interaction.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.interaction.interactant
path:
  v: ClinicalUseDefinition.interaction.interactant
short:
  v: The specific medication, product, food etc. or laboratory test that interacts
definition:
  v: The specific medication, product, food, substance etc. or laboratory test that interacts.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.interaction.interactant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Interactant and Interactions.Interactions Text

id:
  v: ClinicalUseDefinition.interaction.interactant.id
path:
  v: ClinicalUseDefinition.interaction.interactant.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
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.interaction.interactant.extension
path:
  v: ClinicalUseDefinition.interaction.interactant.extension
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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.interaction.interactant.modifierExtension
path:
  v: ClinicalUseDefinition.interaction.interactant.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.interaction.interactant.item[x]
path:
  v: ClinicalUseDefinition.interaction.interactant.item[x]
short:
  v: The specific medication, product, food etc. or laboratory test that interacts
definition:
  v: The specific medication, product, food, substance etc. or laboratory test that interacts.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.interaction.interactant.item[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Medication
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Substance|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Substance
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/NutritionProduct|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/NutritionProduct
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Interactant
  strength:
    v: example
  description:
    v: An interactant - a substance that may have a clinically significant effect on another.
  value set:
    v: http://hl7.org/fhir/ValueSet/interactant|5.0.0
    l: http://hl7.org/fhir/ValueSet/interactant
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Interactant and Interactions.Interactions Text

id:
  v: ClinicalUseDefinition.interaction.type
path:
  v: ClinicalUseDefinition.interaction.type
short:
  v: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction
definition:
  v: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.interaction.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InteractionType
  strength:
    v: example
  description:
    v: A categorisation for an interaction between two substances.
  value set:
    v: http://hl7.org/fhir/ValueSet/interaction-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/interaction-type
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Interactions Type

id:
  v: ClinicalUseDefinition.interaction.effect
path:
  v: ClinicalUseDefinition.interaction.effect
short:
  v: The effect of the interaction, for example "reduced gastric absorption of primary medication"
definition:
  v: The effect of the interaction, for example "reduced gastric absorption of primary medication".
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.interaction.effect
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InteractionEffect
  strength:
    v: example
  description:
    v: A interaction effect of clinical use of a medication or other substance.
  value set:
    v: http://hl7.org/fhir/ValueSet/interaction-effect|5.0.0
    l: http://hl7.org/fhir/ValueSet/interaction-effect
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Interactions Effect

id:
  v: ClinicalUseDefinition.interaction.incidence
path:
  v: ClinicalUseDefinition.interaction.incidence
short:
  v: The incidence of the interaction, e.g. theoretical, observed
definition:
  v: The incidence of the interaction, e.g. theoretical, observed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.interaction.incidence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: UndesirableEffectSymptom
  strength:
    v: example
  description:
    v: A categorisation for incidence of occurence of an interaction.
  value set:
    v: http://hl7.org/fhir/ValueSet/interaction-incidence|5.0.0
    l: http://hl7.org/fhir/ValueSet/interaction-incidence
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Interactions Incidence

id:
  v: ClinicalUseDefinition.interaction.management
path:
  v: ClinicalUseDefinition.interaction.management
short:
  v: Actions for managing the interaction
definition:
  v: Actions for managing the interaction.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.interaction.management
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InteractionManagement
  strength:
    v: example
  description:
    v: A type of management for an interaction of a medication or other substance.
  value set:
    v: http://hl7.org/fhir/ValueSet/interaction-management|5.0.0
    l: http://hl7.org/fhir/ValueSet/interaction-management
mapping:
  identity:
    v: idmp
  map:
    v: Interactions.Management Actions

id:
  v: ClinicalUseDefinition.population
path:
  v: ClinicalUseDefinition.population
short:
  v: The population group to which this applies
definition:
  v: The population group to which this applies.
min:
  v: 1
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.population
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Group
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Population Specifics

id:
  v: ClinicalUseDefinition.library
path:
  v: ClinicalUseDefinition.library
short:
  v: Logic used by the clinical use definition
definition:
  v: Logic used by the clinical use definition.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalUseDefinition.library
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: canonical
    l: canonical
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Library|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Library
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.undesirableEffect
path:
  v: ClinicalUseDefinition.undesirableEffect
short:
  v: A possible negative outcome from the use of this treatment
definition:
  v: Describe the possible undesirable effects (negative outcomes) from the use of the medicinal product as treatment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.undesirableEffect
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
condition:
  v: cud-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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: Undesirable Effects

id:
  v: ClinicalUseDefinition.undesirableEffect.id
path:
  v: ClinicalUseDefinition.undesirableEffect.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
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.undesirableEffect.extension
path:
  v: ClinicalUseDefinition.undesirableEffect.extension
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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.undesirableEffect.modifierExtension
path:
  v: ClinicalUseDefinition.undesirableEffect.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.undesirableEffect.symptomConditionEffect
path:
  v: ClinicalUseDefinition.undesirableEffect.symptomConditionEffect
short:
  v: The situation in which the undesirable effect may manifest
definition:
  v: The situation in which the undesirable effect may manifest.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.undesirableEffect.symptomConditionEffect
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: UndesirableEffectSymptom
  strength:
    v: example
  description:
    v: An undesirable effect of clinical use.
  value set:
    v: http://hl7.org/fhir/ValueSet/undesirable-effect-symptom|5.0.0
    l: http://hl7.org/fhir/ValueSet/undesirable-effect-symptom
mapping:
  identity:
    v: idmp
  map:
    v: Undesirable Effects.Undesirable Effect as "Symptom / Condition / Effect"

id:
  v: ClinicalUseDefinition.undesirableEffect.classification
path:
  v: ClinicalUseDefinition.undesirableEffect.classification
short:
  v: High level classification of the effect
definition:
  v: High level classification of the effect.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.undesirableEffect.classification
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: UndesirableEffectClassification
  strength:
    v: example
  description:
    v: A categorisation for an undesirable effect.
  value set:
    v: http://hl7.org/fhir/ValueSet/undesirable-effect-classification|5.0.0
    l: http://hl7.org/fhir/ValueSet/undesirable-effect-classification
mapping:
  identity:
    v: idmp
  map:
    v: Undesirable Effects.Symptom / Condition / Effect Classification

id:
  v: ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence
path:
  v: ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence
short:
  v: How often the effect is seen
definition:
  v: How often the effect is seen.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: UndesirablEffectFrequency
  strength:
    v: example
  description:
    v: A categorisation for a frequency of occurence of an undesirable effect.
  value set:
    v: http://hl7.org/fhir/ValueSet/undesirable-effect-frequency|5.0.0
    l: http://hl7.org/fhir/ValueSet/undesirable-effect-frequency
mapping:
  identity:
    v: idmp
  map:
    v: Undesirable Effects.Frequency of Occurrence

id:
  v: ClinicalUseDefinition.warning
path:
  v: ClinicalUseDefinition.warning
short:
  v: Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness'
definition:
  v: A critical piece of information about environmental, health or physical risks or hazards that serve as caution to the user. For example 'Do not operate heavy machinery', 'May cause drowsiness', or 'Get medical advice/attention if you feel unwell'.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.warning
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
condition:
  v: cud-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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.warning.id
path:
  v: ClinicalUseDefinition.warning.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
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.warning.extension
path:
  v: ClinicalUseDefinition.warning.extension
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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  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
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.warning.modifierExtension
path:
  v: ClinicalUseDefinition.warning.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: 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()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalUseDefinition.warning.description
path:
  v: ClinicalUseDefinition.warning.description
short:
  v: A textual definition of this warning, with formatting
definition:
  v: A textual definition of this warning, with formatting.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.warning.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: markdown
    l: markdown
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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: idmp
  map:
    v: n/a

id:
  v: ClinicalUseDefinition.warning.code
path:
  v: ClinicalUseDefinition.warning.code
short:
  v: A coded or unformatted textual definition of this warning
definition:
  v: A coded or unformatted textual definition of this warning.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalUseDefinition.warning.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: 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())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: WarningType
  strength:
    v: example
  description:
    v: Classification of warning type.
  value set:
    v: http://hl7.org/fhir/ValueSet/warning-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/warning-type
mapping:
  identity:
    v: idmp
  map:
    v: n/a

element:
  id:
    v: ClinicalUseDefinition
  path:
    v: ClinicalUseDefinition
element:
  id:
    v: ClinicalUseDefinition.id
  path:
    v: ClinicalUseDefinition.id
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.meta
  path:
    v: ClinicalUseDefinition.meta
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.meta.profile
  path:
    v: ClinicalUseDefinition.meta.profile
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.identifier
  path:
    v: ClinicalUseDefinition.identifier
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.identifier.system
  path:
    v: ClinicalUseDefinition.identifier.system
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.identifier.value
  path:
    v: ClinicalUseDefinition.identifier.value
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.type
  path:
    v: ClinicalUseDefinition.type
  min:
    v: 1
  fixed: Code
    v: interaction
element:
  id:
    v: ClinicalUseDefinition.category
  path:
    v: ClinicalUseDefinition.category
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.subject
  path:
    v: ClinicalUseDefinition.subject
  min:
    v: 1
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://hl7.org/fhir/uv/emedicinal-product-info/StructureDefinition/MedicinalProductDefinition-uv-epi
      l: MedicinalProductDefinition-uv-epi
element:
  id:
    v: ClinicalUseDefinition.status
  path:
    v: ClinicalUseDefinition.status
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.interaction
  path:
    v: ClinicalUseDefinition.interaction
  min:
    v: 1
element:
  id:
    v: ClinicalUseDefinition.interaction.interactant
  path:
    v: ClinicalUseDefinition.interaction.interactant
element:
  id:
    v: ClinicalUseDefinition.interaction.interactant.item[x]
  path:
    v: ClinicalUseDefinition.interaction.interactant.item[x]
element:
  id:
    v: ClinicalUseDefinition.interaction.type
  path:
    v: ClinicalUseDefinition.interaction.type
element:
  id:
    v: ClinicalUseDefinition.interaction.effect
  path:
    v: ClinicalUseDefinition.interaction.effect
element:
  id:
    v: ClinicalUseDefinition.interaction.incidence
  path:
    v: ClinicalUseDefinition.interaction.incidence
element:
  id:
    v: ClinicalUseDefinition.interaction.management
  path:
    v: ClinicalUseDefinition.interaction.management
element:
  id:
    v: ClinicalUseDefinition.population
  path:
    v: ClinicalUseDefinition.population
  min:
    v: 1