Guía MHD para el Intercambio de Información de Salud en Chile
0.1.0 - ci-build Chile flag

Guía MHD para el Intercambio de Información de Salud en Chile, published by Hl7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/MHD-CL/ and changes regularly. See the Directory of published versions

Resource Profile: ReferenciaDocumental - TTL Profile

Draft as of 2026-10-23

TTL representation of the ReferenciaDocumental resource profile.

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/StructureDefinition/ReferenciaDocumental> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ReferenciaDocumental"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ReferenciaDocumental</b></p><a name=\"ReferenciaDocumental\"> </a><a name=\"hcReferenciaDocumental\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference\">DocumentReference</a><a name=\"DocumentReference\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://profiles.ihe.net/ITI/MHD/4.2.5/StructureDefinition-IHE.MHD.Minimal.DocumentReference.html\">MinimalDocumentReference</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.masterIdentifier\" title=\"Identificador único para el documento IPS nacional referenciado. Se define como el identificador principal del docunento, el cual debe ser un identificador absoluto, único e irrepetible en el domino en donde ha sido almacenado\">masterIdentifier</a><a name=\"DocumentReference.masterIdentifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://profiles.ihe.net/ITI/MHD/4.2.5/StructureDefinition-IHE.MHD.UniqueIdIdentifier.html\" title=\"Identifier\" class=\"xhtPieceDeEmphasized\">UniqueIdIdentifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS<br/><span class=\"xhtPieceBold\">Example Ejemplo de identificador maestro: </span><span class=\"xhtPieceDarkGreen\">{\"system\":\"https://repositorio.cl/documentos/ips\",\"value\":\"IPS-2026-00001\"}</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.identifier\" title=\"Identificador alternativo para el documento IPS nacional referenciado. Se usa comunmente cuando el document se ha almacenado en varios dominios, y cada uno de ellos le ha asignado un identificador diferente.\">identifier</a><a name=\"DocumentReference.identifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\" class=\"xhtPieceDeEmphasized\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.status\" title=\"Estado de la referncia. Se define como un campo obligatorio, y se recomienda usar el valor 'current' para indicar que el documento referenciado es el más actualizado de los disponibles.\">status</a><a name=\"DocumentReference.status\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Estado de la referencia al documento IPS: current|superseded|entered-in-error</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.type\" title=\"Tipo de documento  referenciado. Se define como un campo obligatorio. Puede ser un Resumen, o un Informe de Examen o un Informe de Alta, o una Nota médca u otro\">type</a><a name=\"DocumentReference.type\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\" class=\"xhtPieceDeEmphasized\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Tipo de documento  referenciado<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-VSTipoDocumento.html\" title=\"https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSTipoDocumento\" class=\"binding\">Tipos de Documento Clínico para DocumentReference</a><span class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span class=\"binding\">)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck101.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.type.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.type.coding\">coding</a><a name=\"DocumentReference.type.coding\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.type.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.type.coding.system\">system</a><a name=\"DocumentReference.type.coding.system\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\" class=\"xhtPieceDeEmphasized\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Identity of the terminology system</span><br/><span class=\"xhtPieceBold\">Example Para IPS: </span><span class=\"xhtPieceDarkGreen\">http://loinc.org</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.type.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.type.coding.code\">code</a><a name=\"DocumentReference.type.coding.code\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Symbol in syntax defined by the system</span><br/><span class=\"xhtPieceBold\">Example Código Loinc para IPS: </span><span class=\"xhtPieceDarkGreen\">34133-9</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.type.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.type.coding.display\">display</a><a name=\"DocumentReference.type.coding.display\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\" class=\"xhtPieceDeEmphasized\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Representation defined by the system</span><br/><span class=\"xhtPieceBold\">Example El display asociado: </span><span class=\"xhtPieceDarkGreen\">Summary of episode note</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category\" title=\"Categoría del documento referenciado. Se define como un campo obligatorio (Resumen de Historia, Examen de Laboratiro, Informe de Imagenología, Alta de Hospitalizado, etc), se usa LOINC para estos códigos.\">category</a><a name=\"DocumentReference.category\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\" class=\"xhtPieceDeEmphasized\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Categoría del documento referenciado<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-VSCategoriaDoc.html\" title=\"https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSCategoriaDoc\" class=\"binding\">Categorías de Documento Clínico para DocumentReference</a><span class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span class=\"binding\">)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.category.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category.coding\">coding</a><a name=\"DocumentReference.category.coding\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"/></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.category.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category.coding.system\">system</a><a name=\"DocumentReference.category.coding.system\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\" class=\"xhtPieceDeEmphasized\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Identity of the terminology system</span><br/><span class=\"xhtPieceBold\">Example Para IPS: </span><span class=\"xhtPieceDarkGreen\">http://loinc.org</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.category.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category.coding.code\">code</a><a name=\"DocumentReference.category.coding.code\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Symbol in syntax defined by the system</span><br/><span class=\"xhtPieceBold\">Example Loinc Asociado: </span><span class=\"xhtPieceDarkGreen\">60591-5</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.category.coding.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category.coding.display\">display</a><a name=\"DocumentReference.category.coding.display\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\" class=\"xhtPieceDeEmphasized\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Representation defined by the system</span><br/><span class=\"xhtPieceBold\">Example Display asociado al código Loinc: </span><span class=\"xhtPieceDarkGreen\">Patient summary Document</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.category.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.category.text\">text</a><a name=\"DocumentReference.category.text\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\" class=\"xhtPieceDeEmphasized\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Plain text representation of the concept</span><br/><span class=\"xhtPieceBold\">Required Pattern: </span><span class=\"xhtPieceDarkGreen\">Resumen clínico de paciente</span> (extensions allowed)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.subject\" title=\"Paciente al que se refiere el documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Patient' para indicar que el documento referenciado es un informe clínico de un paciente.\">subject</a><a name=\"DocumentReference.subject\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"https://hl7chile.cl/fhir/ig/clcore/1.9.4/StructureDefinition-CorePacienteCl.html\">CL Paciente</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Paciente al que se refiere el documento IPS nacional referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.date\" title=\"Fecha de creación del documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'dateTime' para indicar la fecha de creación del documento referenciado.\">date</a><a name=\"DocumentReference.date\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\" class=\"xhtPieceDeEmphasized\">instant</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Fecha de creación del documento IPS nacional referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.author\" title=\"Autor del documento o IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Practitioner' para indicar que el autor del documento referenciado es un profesional de la salud.\">author</a><a name=\"DocumentReference.author\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/practitioner.html\" class=\"xhtPieceDeEmphasized\">Practitioner</a> | <a href=\"http://hl7.org/fhir/R4/practitionerrole.html\" class=\"xhtPieceDeEmphasized\">PractitionerRole</a> | <a href=\"http://hl7.org/fhir/R4/organization.html\" class=\"xhtPieceDeEmphasized\">Organization</a> | <a href=\"http://hl7.org/fhir/R4/device.html\" class=\"xhtPieceDeEmphasized\">Device</a> | <a href=\"http://hl7.org/fhir/R4/patient.html\" class=\"xhtPieceDeEmphasized\">Patient</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\" class=\"xhtPieceDeEmphasized\">RelatedPerson</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Autor del documento o IPS nacional referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.securityLabel\" title=\"Etiqueta de seguridad del documento IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'CodeableConcept' para indicar la etiqueta de seguridad del documento referenciado.\">securityLabel</a><a name=\"DocumentReference.securityLabel\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\" class=\"xhtPieceDeEmphasized\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Etiqueta de seguridad del documento IPS nacional referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content\" title=\"Contenido del documento (IPS u otro) nacional referenciado con url referencial. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.\">content</a><a name=\"DocumentReference.content\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\" class=\"xhtPieceDeEmphasized\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck101.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.content.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content.attachment\" title=\"Definición del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.\">attachment</a><a name=\"DocumentReference.content.attachment\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Attachment\" class=\"xhtPieceDeEmphasized\">Attachment</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Definición del archivo adjunto que contiene el documento referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.content.attachment.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content.attachment.contentType\">contentType</a><a name=\"DocumentReference.content.attachment.contentType\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Mime type of the content, with charset etc.</span><br/><span class=\"xhtPieceBold\">Required Pattern: </span><span class=\"xhtPieceDarkGreen\">application/fhir+json</span> (extensions allowed)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.content.attachment.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content.attachment.url\" title=\"URL del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado puede ser un binary o un Bundle tipo document\">url</a><a name=\"DocumentReference.content.attachment.url\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#url\" class=\"xhtPieceDeEmphasized\">url</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">URL del archivo adjunto que contiene el documento  referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos.<br/><span class=\"xhtPieceBold\">Example Ejemplo de IPS referenciado en X-Road: </span><span class=\"xhtPieceDarkGreen\">/pba/tndXroad/santamarina/docs/ips-xxx</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.content.attachment.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content.attachment.hash\" title=\"Hash del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'base64Binary' para indicar el hash del archivo adjunto que contiene el documento clínico en formato digital.\">hash</a><a name=\"DocumentReference.content.attachment.hash\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#base64Binary\" class=\"xhtPieceDeEmphasized\">base64Binary</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Hash del archivo adjunto que contiene el documento IPS nacional referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.content.attachment.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.content.attachment.title\" title=\"Título del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'string' para indicar el título del archivo adjunto que contiene el documento clínico en formato digital.\">title</a><a name=\"DocumentReference.content.attachment.title\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\" class=\"xhtPieceDeEmphasized\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Título del archivo adjunto que contiene el documento  referenciado<br/><span class=\"xhtPieceBold\">Example Ejemplo de Título del documento contenido referenciado via X-Road: </span><span class=\"xhtPieceDarkGreen\">IPS-001</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.context\" title=\"Contexto del documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'DocumentReference.context' para indicar el contexto del documento clínico referenciado.\">context</a><a name=\"DocumentReference.context\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\" class=\"xhtPieceDeEmphasized\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Contexto del documento IPS nacional u otro referenciado</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck000.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DocumentReference.context.</span><a href=\"StructureDefinition-ReferenciaDocumental-definitions.html#DocumentReference.context.period\" title=\"Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Period' para indicar el periodo de tiempo al que se refiere el documento clínico referenciado.\">period</a><a name=\"DocumentReference.context.period\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\" class=\"xhtPieceDeEmphasized\">Period</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ] ;
  fhir:StructureDefinition.url [ fhir:value "https://hl7chile.cl/fhir/ig/mhd/StructureDefinition/ReferenciaDocumental"] ;
  fhir:StructureDefinition.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.2.22.40.14.42.3" ]
  ] ;
  fhir:StructureDefinition.version [ fhir:value "0.1.0"] ;
  fhir:StructureDefinition.name [ fhir:value "ReferenciaDocumental"] ;
  fhir:StructureDefinition.status [ fhir:value "draft"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-10-23T18:56:37+00:00"^^xsd:dateTime] ;
  fhir:StructureDefinition.publisher [ fhir:value "Hl7 Chile"] ;
  fhir:StructureDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Hl7 Chile" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://hl7chile.cl/" ]
     ]
  ] ;
  fhir:StructureDefinition.description [ fhir:value "Perfil asociado al la refetrencia documental para HSI en un modelo MHD, consderado para transacciones asociadas a una ITI-65 e ITI-67. Se considera en el perfil la asociación de documentos de tipo IPS, referenciados a la Guía Core Argentna AR.FHIR.CORE"] ;
  fhir:StructureDefinition.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "CL" ] ;
       fhir:Coding.display [ fhir:value "Chile" ]
     ]
  ] ;
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
  fhir:StructureDefinition.mapping [
     fhir:index 0 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "urn:ihe:iti:xds:documententry" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "XDS and MHD Mapping" ]
  ], [
     fhir:index 1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
  ], [
     fhir:index 2 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/composition" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "FHIR Composition" ]
  ], [
     fhir:index 3 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
  ], [
     fhir:index 4 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "cda" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3/cda" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "CDA (R2)" ]
  ], [
     fhir:index 5 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
  ], [
     fhir:index 6 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
  ], [
     fhir:index 7 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "xds" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://ihe.net/xds" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "XDS metadata equivalent" ]
  ] ;
  fhir:StructureDefinition.kind [ fhir:value "resource"] ;
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
  fhir:StructureDefinition.type [ fhir:value "DocumentReference"] ;
  fhir:StructureDefinition.baseDefinition [
     fhir:value "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference" ;
     fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference>
  ] ;
  fhir:StructureDefinition.derivation [ fhir:value "constraint"] ;
  fhir:StructureDefinition.snapshot [
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
       fhir:Extension.valueString [ fhir:value "4.2.5" ]
     ] ;
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "DocumentReference" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference" ] ;
       fhir:ElementDefinition.short [ fhir:value "A reference to a document" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Usually, this is used for documents other than those defined by FHIR." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "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" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index 4 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
           fhir:Extension.valueMarkdown [ fhir:value "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." ]
         ] ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "XDS DocumentEntry: Used in the context of the IHE MHD ImplementationGuide" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "when describing a Composition" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Document[classCode=\"DOC\" and moodCode=\"EVN\"]" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "when describing a CDA" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "DocumentReference.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.id" ] ;
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "id" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta" ] ;
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.versionId" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.versionId" ] ;
       fhir:ElementDefinition.short [ fhir:value "Version specific identifier" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.versionId" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.lastUpdated" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.lastUpdated" ] ;
       fhir:ElementDefinition.short [ fhir:value "When the resource version last changed" ] ;
       fhir:ElementDefinition.definition [ fhir:value "When the resource last changed - e.g. when the version changed." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This value is always populated except when the resource is first being created. 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/R4/http.html#read) interaction." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.lastUpdated" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.source" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.source" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identifies where the resource comes from" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis 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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.source" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.profile" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.profile" ] ;
       fhir:ElementDefinition.short [ fhir:value "Profiles this resource claims to conform to" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.profile" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "canonical" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.limitedMetadata" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.security" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.security" ] ;
       fhir:ElementDefinition.short [ fhir:value "Security Labels applied to this resource" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.security" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "SecurityLabels" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Security Labels from the Healthcare Privacy and Security Classification System." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/security-labels|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/security-labels|4.0.1>
         ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "DocumentReference.meta.tag" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.meta.tag" ] ;
       fhir:ElementDefinition.short [ fhir:value "Tags applied to this resource" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Meta.tag" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "Tags" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/common-tags|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/common-tags|4.0.1>
         ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "DocumentReference.implicitRules" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.implicitRules" ] ;
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "DocumentReference.language" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.language" ] ;
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ;
             fhir:link <http://hl7.org/fhir/ValueSet/all-languages>
           ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "Language" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/languages|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/languages|4.0.1>
         ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "DocumentReference.text" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.text" ] ;
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have 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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "narrative" ;
         fhir:index 0
       ], [
         fhir:value "html" ;
         fhir:index 1
       ], [
         fhir:value "xhtml" ;
         fhir:index 2
       ], [
         fhir:value "display" ;
         fhir:index 3
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]
       ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "DocumentReference.contained" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.contained" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ] ;
       fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ;
       fhir:ElementDefinition.comment [ fhir:value "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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "inline resources" ;
         fhir:index 0
       ], [
         fhir:value "anonymous resources" ;
         fhir:index 1
       ], [
         fhir:value "contained resources" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Resource" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "DocumentReference.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "DocumentReference.extension:homeCommunityId" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.extension" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "homeCommunityId" ] ;
       fhir:ElementDefinition.short [ fhir:value "The homeCommunityId where the artifact resides" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The globally unique, immutable, identifier of the homeCommunityId entity where this artifact resides. The format of the value is an OID." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId" ;
           fhir:index 0 ;
           fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId>
         ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "ele-1" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.homeCommunityId" ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "DocumentReference.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "DocumentReference.masterIdentifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.masterIdentifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identificador único para el documento IPS nacional referenciado. Se define como el identificador principal del docunento, el cual debe ser un identificador absoluto, único e irrepetible en el domino en donde ha sido almacenado" ] ;
       fhir:ElementDefinition.comment [ fhir:value "CDA Document Id extension and root." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form \"oid^extension\", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.)." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.masterIdentifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier" ;
           fhir:index 0 ;
           fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier> ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de identificador maestro" ] ;
         fhir:ElementDefinition.example.valueIdentifier [
           fhir:Identifier.system [ fhir:value "https://repositorio.cl/documentos/ips" ] ;
           fhir:Identifier.value [ fhir:value "IPS-2026-00001" ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.uniqueId" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.identifier" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-12" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".id" ]
       ], [
         fhir:index 6 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.uniqueId" ]
       ], [
         fhir:index 7 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/id" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "type" ]
         ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identificador alternativo para el documento IPS nacional referenciado. Se usa comunmente cuando el document se ha almacenado en varios dominios, y cada uno de ellos le ha asignado un identificador diferente." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.entryUUID" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-16?" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".id / .setId" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.entryUUID" ]
       ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "DocumentReference.identifier:entryUUID" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "entryUUID" ] ;
       fhir:ElementDefinition.short [ fhir:value "Business identifier for the DocumentReference" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The Business identifier for the DocumentReference which maps to the DocumentEntry.entryUUID in XDS. This is used to refer to the DocumentReference itself as a record of the Document's metadata, as opposed to the UniqueId element which identifies the document which is pointed at by the document reference." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier" ;
           fhir:index 0 ;
           fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier> ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-16?" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".id / .setId" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.entryUUID" ]
       ]
     ], [
       fhir:index 21 ;
       fhir:Element.id [ fhir:value "DocumentReference.identifier:uniqueId" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "uniqueId" ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique identifier for the referenced Document" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The unique identifier for the referenced Document which maps to the DocumentEntry.uniqueId in XDS. This is used to identify the document which is pointed at by the DocumentReference Resource, as opposed to the entryUUID element which identifies the DocumentReference Resource itself. If this is present, then the identifier SHALL be the same as the one found in masterIdentifier." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier" ;
           fhir:index 0 ;
           fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier> ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-16?" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".id / .setId" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.entryUUID" ]
       ]
     ], [
       fhir:index 22 ;
       fhir:Element.id [ fhir:value "DocumentReference.status" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.status" ] ;
       fhir:ElementDefinition.short [ fhir:value "Estado de la referencia al documento IPS: current|superseded|entered-in-error" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Estado de la referncia. Se define como un campo obligatorio, y se recomienda usar el valor 'current' para indicar que el documento referenciado es el más actualizado de los disponibles." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.status" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats" ;
           fhir:link <https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.availabilityStatus" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-19" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\"" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.availabilityStatus" ]
       ]
     ], [
       fhir:index 23 ;
       fhir:Element.id [ fhir:value "DocumentReference.docStatus" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.docStatus" ] ;
       fhir:ElementDefinition.short [ fhir:value "preliminary | final | amended | entered-in-error" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The status of the underlying document." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The document that is pointed to might be in various lifecycle states." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.docStatus" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "ReferredDocumentStatus" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Status of the underlying document." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/composition-status|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/composition-status|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.status" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-17" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".statusCode" ]
       ]
     ], [
       fhir:index 24 ;
       fhir:Element.id [ fhir:value "DocumentReference.type" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type" ] ;
       fhir:ElementDefinition.short [ fhir:value "Tipo de documento  referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Tipo de documento  referenciado. Se define como un campo obligatorio. Puede ser un Resumen, o un Informe de Examen o un Informe de Alta, o una Nota médca u otro" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.type" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSTipoDocumento" ;
           fhir:link <https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSTipoDocumento>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.typeCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.type" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-2" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]
       ], [
         fhir:index 6 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.type" ]
       ], [
         fhir:index 7 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted." ]
       ]
     ], [
       fhir:index 25 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 26 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 27 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding" ] ;
       fhir:ElementDefinition.short [ fhir:value "Code defined by a terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]
       ]
     ], [
       fhir:index 28 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 29 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 30 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.system" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Para IPS" ] ;
         fhir:ElementDefinition.example.valueUri [ fhir:value "http://loinc.org" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]
       ]
     ], [
       fhir:index 31 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.version" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.version" ] ;
       fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]
       ]
     ], [
       fhir:index 32 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Código Loinc para IPS" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "34133-9" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]
       ]
     ], [
       fhir:index 33 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.display" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "El display asociado" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "Summary of episode note" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]
       ]
     ], [
       fhir:index 34 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.userSelected" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.userSelected" ] ;
       fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]
       ]
     ], [
       fhir:index 35 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.text" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.text" ] ;
       fhir:ElementDefinition.short [ fhir:value "Plain text representation of the concept" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Very often the text is the same as a displayName of one of the codings." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.9. But note many systems use C*E.2 for this" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./originalText[mediaType/code=\"text/plain\"]/data" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ]
       ]
     ], [
       fhir:index 36 ;
       fhir:Element.id [ fhir:value "DocumentReference.category" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category" ] ;
       fhir:ElementDefinition.short [ fhir:value "Categoría del documento referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Categoría del documento referenciado. Se define como un campo obligatorio (Resumen de Historia, Examen de Laboratiro, Informe de Imagenología, Alta de Hospitalizado, etc), se usa LOINC para estos códigos." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "claxs" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.category" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSCategoriaDoc" ;
           fhir:link <https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSCategoriaDoc>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.classCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.class" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.class" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code" ]
       ]
     ], [
       fhir:index 37 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 38 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 39 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding" ] ;
       fhir:ElementDefinition.short [ fhir:value "Code defined by a terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]
       ]
     ], [
       fhir:index 40 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 41 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 42 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.system" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Para IPS" ] ;
         fhir:ElementDefinition.example.valueUri [ fhir:value "http://loinc.org" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]
       ]
     ], [
       fhir:index 43 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.version" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.version" ] ;
       fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]
       ]
     ], [
       fhir:index 44 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Loinc Asociado" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "60591-5" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]
       ]
     ], [
       fhir:index 45 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.display" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Display asociado al código Loinc" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "Patient summary Document" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]
       ]
     ], [
       fhir:index 46 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.userSelected" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.userSelected" ] ;
       fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]
       ]
     ], [
       fhir:index 47 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.text" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.text" ] ;
       fhir:ElementDefinition.short [ fhir:value "Plain text representation of the concept" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Very often the text is the same as a displayName of one of the codings." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.patternString [ fhir:value "Resumen clínico de paciente" ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.9. But note many systems use C*E.2 for this" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./originalText[mediaType/code=\"text/plain\"]/data" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ]
       ]
     ], [
       fhir:index 48 ;
       fhir:Element.id [ fhir:value "DocumentReference.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Paciente al que se refiere el documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Paciente al que se refiere el documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Patient' para indicar que el documento referenciado es un informe clínico de un paciente." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.subject" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl" ;
           fhir:index 0 ;
           fhir:link <https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.patientId" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.subject" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]" ]
       ], [
         fhir:index 6 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.patientId" ]
       ], [
         fhir:index 7 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/recordTarget/" ]
       ], [
         fhir:index 8 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ]
       ]
     ], [
       fhir:index 49 ;
       fhir:Element.id [ fhir:value "DocumentReference.date" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.date" ] ;
       fhir:ElementDefinition.short [ fhir:value "Fecha de creación del documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Fecha de creación del documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'dateTime' para indicar la fecha de creación del documento referenciado." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Referencing/indexing time is used for tracking, organizing versions and searching." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "indexed" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.date" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.date" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".availabilityTime[type=\"TS\"]" ]
       ]
     ], [
       fhir:index 50 ;
       fhir:Element.id [ fhir:value "DocumentReference.author" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.author" ] ;
       fhir:ElementDefinition.short [ fhir:value "Autor del documento o IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Autor del documento o IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Practitioner' para indicar que el autor del documento referenciado es un profesional de la salud." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant)." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.author" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1" ;
           fhir:index 1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
           fhir:index 2 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Device|4.0.1" ;
           fhir:index 3 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Device|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1" ;
           fhir:index 4 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Patient|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1" ;
           fhir:index 5 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.author" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.author" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.author" ]
       ], [
         fhir:index 6 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/author" ]
       ]
     ], [
       fhir:index 51 ;
       fhir:Element.id [ fhir:value "DocumentReference.authenticator" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.authenticator" ] ;
       fhir:ElementDefinition.short [ fhir:value "Who/what authenticated the document" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Which person or organization authenticates that this document is valid." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.authenticator" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1" ;
           fhir:index 1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
           fhir:index 2 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.legalAuthenticator" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.witness" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.attester" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-10" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" ]
       ], [
         fhir:index 6 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.legalAuthenticator" ]
       ], [
         fhir:index 7 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/legalAuthenticator" ]
       ]
     ], [
       fhir:index 52 ;
       fhir:Element.id [ fhir:value "DocumentReference.custodian" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.custodian" ] ;
       fhir:ElementDefinition.short [ fhir:value "Organization which maintains the document" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.custodian" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "not mapped" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.custodian" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]" ]
       ]
     ], [
       fhir:index 53 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo" ] ;
       fhir:ElementDefinition.short [ fhir:value "Relationships to other documents" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Relationships that this document has with other document references that already exist." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because documents that append to other documents are incomplete on their own." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.relatesTo" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.relatesTo" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations" ]
       ]
     ], [
       fhir:index 54 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 55 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo.extension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 56 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ], [
         fhir:value "modifiers" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 57 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "replaces | transforms | signs | appends" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The type of relationship that this document has with anther document." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.relatesTo.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DocumentRelationshipType" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "The type of relationship between documents." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations.type" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.relatesTo.code" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship.typeCode" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations type" ]
       ]
     ], [
       fhir:index 58 ;
       fhir:Element.id [ fhir:value "DocumentReference.relatesTo.target" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.relatesTo.target" ] ;
       fhir:ElementDefinition.short [ fhir:value "Target of the relationship" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The target document of this relationship." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.relatesTo.target" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations.reference" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.relatesTo.target" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".target[classCode=\"DOC\", moodCode=\"EVN\"].id" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry Associations reference" ]
       ]
     ], [
       fhir:index 59 ;
       fhir:Element.id [ fhir:value "DocumentReference.description" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.description" ] ;
       fhir:ElementDefinition.short [ fhir:value "Human-readable description" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Human-readable description of the source document." ] ;
       fhir:ElementDefinition.comment [ fhir:value "What the document is about,  a terse summary of the document." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Helps humans to assess whether the document is of interest." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.description" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.comments" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-25" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"SUBJ\"].target.text" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.comments" ]
       ]
     ], [
       fhir:index 60 ;
       fhir:Element.id [ fhir:value "DocumentReference.securityLabel" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.securityLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "Etiqueta de seguridad del documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Etiqueta de seguridad del documento IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'CodeableConcept' para indicar la etiqueta de seguridad del documento referenciado." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.securityLabel" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "SecurityLabels" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Security Labels from the Healthcare Privacy and Security Classification System." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/security-labels|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/security-labels|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.confidentialityCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.confidentiality, Composition.meta.security" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-18" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".confidentialityCode" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.confidentialityCode" ]
       ], [
         fhir:index 5 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/confidentialityCode/@code" ]
       ]
     ], [
       fhir:index 61 ;
       fhir:Element.id [ fhir:value "DocumentReference.content" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.definition [ fhir:value "Contenido del documento (IPS u otro) nacional referenciado con url referencial. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.content" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Bundle(Composition+*)" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "document.text" ]
       ]
     ], [
       fhir:index 62 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 63 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.extension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 64 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ], [
         fhir:value "modifiers" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 65 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment" ] ;
       fhir:ElementDefinition.short [ fhir:value "Definición del archivo adjunto que contiene el documento referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Definición del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.content.attachment" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.language, \nComposition.title, \nComposition.date" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "TXA-3 for mime type" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "document.text" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date" ]
       ]
     ], [
       fhir:index 66 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 67 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 68 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.contentType" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.contentType" ] ;
       fhir:ElementDefinition.short [ fhir:value "Mime type of the content, with charset etc." ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Processors of the data need to be able to know how to interpret the data." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.contentType" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.patternCode [ fhir:value "application/fhir+json" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "text/plain; charset=UTF-8, image/png" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "MimeType" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "The mime type of an attachment. Any valid mime type is allowed." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/mimetypes|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/mimetypes|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.mimeType" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./mediaType, ./charset" ]
       ]
     ], [
       fhir:index 69 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.language" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.language" ] ;
       fhir:ElementDefinition.short [ fhir:value "Human language of the content (BCP-47)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The human language of the content. The value can be any valid value according to BCP 47." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Users need to be able to choose between the languages in a set of attachments." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.language" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "en-AU" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ;
             fhir:link <http://hl7.org/fhir/ValueSet/all-languages>
           ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "Language" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/languages|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/languages|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.languageCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./language" ]
       ]
     ], [
       fhir:index 70 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.data" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.data" ] ;
       fhir:ElementDefinition.short [ fhir:value "Data inline, base64ed" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The actual data of the attachment - a sequence of bytes, base64 encoded." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The data needs to able to be transmitted inline." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.data" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ED.5" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./data" ]
       ]
     ], [
       fhir:index 71 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.url" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.url" ] ;
       fhir:ElementDefinition.short [ fhir:value "URL del archivo adjunto que contiene el documento  referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos." ] ;
       fhir:ElementDefinition.definition [ fhir:value "URL del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado puede ser un binary o un Bundle tipo document" ] ;
       fhir:ElementDefinition.comment [ fhir:value "If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The data needs to be transmitted by reference." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.url" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "url" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
         fhir:ElementDefinition.example.valueUrl [ fhir:value "http://www.acme.com/logo-small.png" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de IPS referenciado en X-Road" ] ;
         fhir:ElementDefinition.example.valueUrl [ fhir:value "/pba/tndXroad/santamarina/docs/ips-xxx" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.repositoryUniqueId+DocumentEntry.uniqueId or DocumentEntry.URI" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "RP.1+RP.2 - if they refer to a URL (see v2.6)" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./reference/literal" ]
       ]
     ], [
       fhir:index 72 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.size" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.size" ] ;
       fhir:ElementDefinition.short [ fhir:value "Number of bytes of content (if url provided)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The number of bytes of data that make up this attachment (before base64 encoding, if that is done)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.size" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.size" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A (needs data type R3 proposal)" ]
       ]
     ], [
       fhir:index 73 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.hash" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.hash" ] ;
       fhir:ElementDefinition.short [ fhir:value "Hash del archivo adjunto que contiene el documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Hash del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'base64Binary' para indicar el hash del archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.hash" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.hash" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]" ]
       ]
     ], [
       fhir:index 74 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.title" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.title" ] ;
       fhir:ElementDefinition.short [ fhir:value "Título del archivo adjunto que contiene el documento  referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Título del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'string' para indicar el título del archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.title" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "Official Corporate Logo" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de Título del documento contenido referenciado via X-Road" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "IPS-001" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.title" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./title/data" ]
       ]
     ], [
       fhir:index 75 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.creation" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.creation" ] ;
       fhir:ElementDefinition.short [ fhir:value "Date attachment was first created" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The date that the attachment was first created." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This is often tracked as an integrity issue for use of the attachment." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Attachment.creation" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.creationTime" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A (needs data type R3 proposal)" ]
       ]
     ], [
       fhir:index 76 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.format" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.format" ] ;
       fhir:ElementDefinition.short [ fhir:value "Format/content rules for the document" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.content.format" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://ihe.net/fhir/ihe.formatcode.fhir/ValueSet/formatcode" ;
           fhir:link <http://ihe.net/fhir/ihe.formatcode.fhir/ValueSet/formatcode>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.formatCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.meta.profile" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "document.text" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.formatCode" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "derived from the IHE Profile or Implementation Guide templateID" ]
       ]
     ], [
       fhir:index 77 ;
       fhir:Element.id [ fhir:value "DocumentReference.context" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contexto del documento IPS nacional u otro referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Contexto del documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'DocumentReference.context' para indicar el contexto del documento clínico referenciado." ] ;
       fhir:ElementDefinition.comment [ fhir:value "These values are primarily added to help with searching for interesting/relevant documents." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']" ]
       ]
     ], [
       fhir:index 78 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 79 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.extension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 80 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ], [
         fhir:value "modifiers" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 81 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.encounter" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.encounter" ] ;
       fhir:ElementDefinition.short [ fhir:value "Context of the document  content" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the clinical encounter or type of care that the document content is associated with." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.encounter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1" ;
           fhir:index 1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.referenceIdList with CXi encoding for urn:ihe:iti:xds:2015:encounterId" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.context" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.context" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.encounter" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])" ]
       ]
     ], [
       fhir:index 82 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.event" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.event" ] ;
       fhir:ElementDefinition.short [ fhir:value "Main clinical acts documented" ] ;
       fhir:ElementDefinition.definition [ fhir:value "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the type Code, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act." ] ;
       fhir:ElementDefinition.comment [ fhir:value "An event can further specialize the act inherent in the type, such as  where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.event" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DocumentEventType" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "This list of codes represents the main clinical acts being documented." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActCode" ;
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActCode>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.eventCodeList" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.event.code" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.eventCodeList" ]
       ]
     ], [
       fhir:index 83 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period" ] ;
       fhir:ElementDefinition.short [ fhir:value "Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Period' para indicar el periodo de tiempo al que se refiere el documento clínico referenciado." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.period" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.event.period" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value" ]
       ]
     ], [
       fhir:index 84 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 85 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 86 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period.start" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period.start" ] ;
       fhir:ElementDefinition.short [ fhir:value "Starting time with inclusive boundary" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The start of the period. The boundary is inclusive." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If the low element is missing, the meaning is that the low boundary is not known." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Period.start" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "per-1" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.serviceStartTime" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DR.1" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./low" ]
       ]
     ], [
       fhir:index 87 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period.end" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period.end" ] ;
       fhir:ElementDefinition.short [ fhir:value "End time with inclusive boundary, if not ongoing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Period.end" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.meaningWhenMissing [ fhir:value "If the end of the period is missing, it means that the period is ongoing" ] ;
       fhir:ElementDefinition.condition [
         fhir:value "per-1" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.serviceStopTime" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DR.2" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./high" ]
       ]
     ], [
       fhir:index 88 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.facilityType" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.facilityType" ] ;
       fhir:ElementDefinition.short [ fhir:value "Kind of facility where patient was seen" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The kind of facility where the patient was seen." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.facilityType" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DocumentC80FacilityType" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "XDS Facility Type." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/c80-facilitycodes|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/c80-facilitycodes|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.healthcareFacilityTypeCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "usually from a mapping to a local ValueSet" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.healthcareFacilityTypeCode" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code" ]
       ]
     ], [
       fhir:index 89 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.practiceSetting" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.practiceSetting" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional details about where the content was created (e.g. clinical specialty)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.practiceSetting" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DocumentC80PracticeSetting" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Additional details about where the content was created (e.g. clinical specialty)." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.practiceSettingCode" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "usually from a mapping to a local ValueSet" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.practiceSettingCode" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "usually from a mapping to a local ValueSet" ]
       ]
     ], [
       fhir:index 90 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient demographics from source" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The Patient Information as known when the document was published. May be a reference to a version specific, or contained." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.sourcePatientInfo" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Patient|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.subject" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/recordTarget/" ]
       ]
     ], [
       fhir:index 91 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 92 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 93 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.reference" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.reference" ] ;
       fhir:ElementDefinition.short [ fhir:value "Literal reference, Relative, internal or absolute URL" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.reference" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "ref-1" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.sourcePatientInfo" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 94 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.type" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.type" ] ;
       fhir:ElementDefinition.short [ fhir:value "Type the reference refers to (e.g. \"Patient\")" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.type" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "FHIRResourceTypeExt" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Aa resource (or, for logical models, the URI of the logical model)." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/resource-types|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 95 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.identifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Logical reference, when literal reference is not known" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ;
       fhir:ElementDefinition.comment [ fhir:value "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.sourcePatientId" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".identifier" ]
       ]
     ], [
       fhir:index 96 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.sourcePatientInfo.display" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.sourcePatientInfo.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Text alternative for the resource" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Plain text narrative that identifies the resource in addition to the resource reference." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 97 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.related" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.related" ] ;
       fhir:ElementDefinition.short [ fhir:value "Related identifiers or resources" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Related identifiers or resources associated with the DocumentReference." ] ;
       fhir:ElementDefinition.comment [ fhir:value "May be identifiers or resources that caused the DocumentReference or referenced Document to be created." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DocumentReference.context.related" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Resource|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "DocumentEntry-Mapping" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.referenceIdList using CXi encoding for type when possible" ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhircomposition" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Composition.event.detail" ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]" ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "xds" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DocumentEntry.referenceIdList" ]
       ], [
         fhir:index 4 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/relatedDocument" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "DocumentReference.masterIdentifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.masterIdentifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identificador único para el documento IPS nacional referenciado. Se define como el identificador principal del docunento, el cual debe ser un identificador absoluto, único e irrepetible en el domino en donde ha sido almacenado" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de identificador maestro" ] ;
         fhir:ElementDefinition.example.valueIdentifier [
           fhir:Identifier.system [ fhir:value "https://repositorio.cl/documentos/ips" ] ;
           fhir:Identifier.value [ fhir:value "IPS-2026-00001" ]
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.identifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identificador alternativo para el documento IPS nacional referenciado. Se usa comunmente cuando el document se ha almacenado en varios dominios, y cada uno de ellos le ha asignado un identificador diferente." ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "DocumentReference.status" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.status" ] ;
       fhir:ElementDefinition.short [ fhir:value "Estado de la referencia al documento IPS: current|superseded|entered-in-error" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Estado de la referncia. Se define como un campo obligatorio, y se recomienda usar el valor 'current' para indicar que el documento referenciado es el más actualizado de los disponibles." ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "DocumentReference.type" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type" ] ;
       fhir:ElementDefinition.short [ fhir:value "Tipo de documento  referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Tipo de documento  referenciado. Se define como un campo obligatorio. Puede ser un Resumen, o un Informe de Examen o un Informe de Alta, o una Nota médca u otro" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSTipoDocumento" ;
           fhir:link <https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSTipoDocumento>
         ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.system" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Para IPS" ] ;
         fhir:ElementDefinition.example.valueUri [ fhir:value "http://loinc.org" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.code" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Código Loinc para IPS" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "34133-9" ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "DocumentReference.type.coding.display" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.type.coding.display" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "El display asociado" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "Summary of episode note" ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "DocumentReference.category" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category" ] ;
       fhir:ElementDefinition.short [ fhir:value "Categoría del documento referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Categoría del documento referenciado. Se define como un campo obligatorio (Resumen de Historia, Examen de Laboratiro, Informe de Imagenología, Alta de Hospitalizado, etc), se usa LOINC para estos códigos." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSCategoriaDoc" ;
           fhir:link <https://hl7chile.cl/fhir/ig/mhd/ValueSet/VSCategoriaDoc>
         ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.system" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Para IPS" ] ;
         fhir:ElementDefinition.example.valueUri [ fhir:value "http://loinc.org" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.code" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Loinc Asociado" ] ;
         fhir:ElementDefinition.example.valueCode [ fhir:value "60591-5" ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.coding.display" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.coding.display" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Display asociado al código Loinc" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "Patient summary Document" ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "DocumentReference.category.text" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.category.text" ] ;
       fhir:ElementDefinition.patternString [ fhir:value "Resumen clínico de paciente" ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "DocumentReference.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Paciente al que se refiere el documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Paciente al que se refiere el documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Patient' para indicar que el documento referenciado es un informe clínico de un paciente." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl" ;
           fhir:index 0 ;
           fhir:link <https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl>
         ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "DocumentReference.date" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.date" ] ;
       fhir:ElementDefinition.short [ fhir:value "Fecha de creación del documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Fecha de creación del documento IPS nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'dateTime' para indicar la fecha de creación del documento referenciado." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "DocumentReference.author" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.author" ] ;
       fhir:ElementDefinition.short [ fhir:value "Autor del documento o IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Autor del documento o IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Practitioner' para indicar que el autor del documento referenciado es un profesional de la salud." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "DocumentReference.securityLabel" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.securityLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "Etiqueta de seguridad del documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Etiqueta de seguridad del documento IPS nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'CodeableConcept' para indicar la etiqueta de seguridad del documento referenciado." ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "DocumentReference.content" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.definition [ fhir:value "Contenido del documento (IPS u otro) nacional referenciado con url referencial. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment" ] ;
       fhir:ElementDefinition.short [ fhir:value "Definición del archivo adjunto que contiene el documento referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Definición del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.contentType" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.contentType" ] ;
       fhir:ElementDefinition.patternCode [ fhir:value "application/fhir+json" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.url" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.url" ] ;
       fhir:ElementDefinition.short [ fhir:value "URL del archivo adjunto que contiene el documento  referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos." ] ;
       fhir:ElementDefinition.definition [ fhir:value "URL del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado puede ser un binary o un Bundle tipo document" ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de IPS referenciado en X-Road" ] ;
         fhir:ElementDefinition.example.valueUrl [ fhir:value "/pba/tndXroad/santamarina/docs/ips-xxx" ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.hash" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.hash" ] ;
       fhir:ElementDefinition.short [ fhir:value "Hash del archivo adjunto que contiene el documento IPS nacional referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Hash del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo obligatorio, y se recomienda usar el valor 'base64Binary' para indicar el hash del archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 21 ;
       fhir:Element.id [ fhir:value "DocumentReference.content.attachment.title" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.content.attachment.title" ] ;
       fhir:ElementDefinition.short [ fhir:value "Título del archivo adjunto que contiene el documento  referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Título del archivo adjunto que contiene el documento (IPS u otro) nacional referenciado. Se define como un campo opcional, y se recomienda usar el valor 'string' para indicar el título del archivo adjunto que contiene el documento clínico en formato digital." ] ;
       fhir:ElementDefinition.example [
         fhir:index 0 ;
         fhir:ElementDefinition.example.label [ fhir:value "Ejemplo de Título del documento contenido referenciado via X-Road" ] ;
         fhir:ElementDefinition.example.valueString [ fhir:value "IPS-001" ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 22 ;
       fhir:Element.id [ fhir:value "DocumentReference.context" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contexto del documento IPS nacional u otro referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Contexto del documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'DocumentReference.context' para indicar el contexto del documento clínico referenciado." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 23 ;
       fhir:Element.id [ fhir:value "DocumentReference.context.period" ] ;
       fhir:ElementDefinition.path [ fhir:value "DocumentReference.context.period" ] ;
       fhir:ElementDefinition.short [ fhir:value "Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado. Se define como un campo opcional, y se recomienda usar el valor 'Period' para indicar el periodo de tiempo al que se refiere el documento clínico referenciado." ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/StructureDefinition/ReferenciaDocumental.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/StructureDefinition/ReferenciaDocumental.ttl> .