StructureDefinition: ShareableConceptMap - XML

ShareableConceptMap

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="shareableconceptmap"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="vocab"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/shareableconceptmap"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.5.1115"/> 
  </identifier> 
  <version value="6.0.0-ballot2"/> 
  <name value="ShareableConceptMap"/> 
  <title value="Shareable ConceptMap"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2020-12-28T16:55:11+11:00"/> 
  <publisher value="HL7 International / Terminology Infrastructure"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/Vocab"/> 
    </telecom> 
  </contact> 
  <description value="Enforces the minimum information set for the concept map metadata required by HL7
   and other organizations that share and publish concept maps"/> 
  <fhirVersion value="6.0.0-ballot2"/> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="objimpl"/> 
    <uri value="http://hl7.org/fhir/object-implementation"/> 
    <name value="Object Implementation Information"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="ConceptMap"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="ConceptMap">
      <path value="ConceptMap"/> 
      <short value="A map from one set of concepts to one or more other concepts"/> 
      <definition value="A statement of relationships from one set of concepts to one or more other concepts
       - either concepts in code systems, or data element/data element concepts, or classes
       in class models."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="cnl-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        <expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="conformance.behavior,conformance.terminology"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.id">
      <path value="ConceptMap.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.meta">
      <path value="ConceptMap.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition 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."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.implicitRules">
      <path value="ConceptMap.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition 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."/> 
      <comment 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 its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.language">
      <path value="ConceptMap.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment 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)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <strength value="required"/> 
        <description value="IETF language tag for a human language"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2"/> 
        <additional> 
          <purpose value="starter"/> 
          <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
        </additional> 
      </binding> 
    </element> 
    <element id="ConceptMap.text">
      <path value="ConceptMap.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition 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
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-6"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.contained">
      <path value="ConceptMap.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment 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."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <condition value="dom-2"/> 
      <condition value="dom-4"/> 
      <condition value="dom-3"/> 
      <condition value="dom-5"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.extension">
      <path value="ConceptMap.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <ordered value="false"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Extension"/> 
      <definition value="An Extension"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.extension:knowledgeRepresentationLevel">
      <path value="ConceptMap.extension"/> 
      <sliceName value="knowledgeRepresentationLevel"/> 
      <short value="narrative | semi-structured | structured | executable"/> 
      <definition value="Defines a knowledge representation level provided by this knowledge artifact."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
    </element> 
    <element id="ConceptMap.modifierExtension">
      <path value="ConceptMap.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.url">
      <path value="ConceptMap.url"/> 
      <short value="Canonical identifier for this concept map, represented as a URI (globally unique)"/> 
      <definition value="An absolute URI that is used to identify this concept map when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this concept map is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the concept map is stored
       on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple
       instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       

In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the concept map to be referenced by a single globally unique identifier."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.url"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="cnl-1"/> 
        <severity value="warning"/> 
        <human value="URL should not contain | or # - these characters make processing canonical references
         problematic"/> 
        <expression value="exists() implies matches('^[^|# ]+$')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.identifier">
      <path value="ConceptMap.identifier"/> 
      <short value="Additional identifier for the concept map"/> 
      <definition value="A formal identifier that is used to identify this concept map when it is represented
       in other formats, or referenced in a specification, model, design or an instance."/> 
      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this concept map outside of FHIR, where it is
       not possible to use the logical URI."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.version">
      <path value="ConceptMap.version"/> 
      <short value="Business version of the concept map"/> 
      <definition value="The identifier that is used to identify this version of the concept map when it
       is referenced in a specification, model, design or instance. This is an arbitrary
       value managed by the concept map author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not
       available. There is also no expectation that versions can be placed in a lexicographical
       sequence."/> 
      <comment value="There may be different concept map instances that have the same identifier but
       different versions.  The version can be appended to the url in a reference to allow
       a reference to a particular business version of the concept map with the format
       [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](resource.html#
      bv-format)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.version"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.versionAlgorithm[x]">
      <path value="ConceptMap.versionAlgorithm[x]"/> 
      <short value="How to compare versions"/> 
      <definition value="Indicates the mechanism used to compare versions to determine which ConceptMap
       is more current."/> 
      <comment value="If set as a string, this is a FHIRPath expression that has two additional context
       variables passed in - %version1 and %version2 and will return a negative number
       if version1 is newer, a positive number if version2 and a 0 if the version ordering
       can't be successfully be determined."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.versionAlgorithm[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.name">
      <path value="ConceptMap.name"/> 
      <short value="Name for this concept map (computer friendly)"/> 
      <definition value="A natural language name identifying the concept map. This name should be usable
       as an identifier for the module by machine processing applications such as code
       generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.name"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cnl-0"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.title">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.title"/> 
      <short value="Name for this concept map (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the concept map."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.title"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.status">
      <path value="ConceptMap.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The status of this concept map. Enables tracking the life-cycle of the content."/> 
      <comment value="Allows filtering of concept maps that are appropriate for use versus not.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use
       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.experimental">
      <path value="ConceptMap.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      <definition value="A Boolean value to indicate that this concept map is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine
       usage."/> 
      <comment value="Allows filtering of concept maps that are appropriate for use versus not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that
       would be used for a production-level concept map."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.experimental"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.date">
      <path value="ConceptMap.date"/> 
      <short value="Date last changed"/> 
      <definition value="The date  (and optionally time) when the concept map was last significantly changed.
       The date must change when the business version changes and it must change if the
       status code changes. In addition, it should change when the substantive content
       of the concept map changes."/> 
      <comment value="The date is often not tracked until the resource is published, but may be present
       on draft content. Note that this is not the same as the resource last-modified-date,
       since the resource may be a secondary representation of the concept map. Additional
       specific dates may be added as extensions or be found by consulting Provenances
       associated with past versions of the resource.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.publisher">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.publisher"/> 
      <short value="Name of the publisher/steward (organization or individual)"/> 
      <definition value="The name of the organization or individual responsible for the release and ongoing
       maintenance of the concept map."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of
       the concept map is the organization or individual primarily responsible for the
       maintenance and upkeep of the concept map. This is not necessarily the same individual
       or organization that developed and initially authored the content. The publisher
       is the primary point of contact for questions or issues with the concept map. This
       item SHOULD be populated unless the information is available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the concept map.  May
       also allow for contact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.publisher"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.contact">
      <path value="ConceptMap.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.contact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.description">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.description"/> 
      <short value="Natural language description of the concept map"/> 
      <definition value="A free text natural language description of the concept map from a consumer's perspective."/> 
      <comment value="The description is not intended to describe the semantics of the concept map. The
       description should capture its intended use, which is needed for ensuring integrity
       for its use in models across future changes."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.useContext">
      <path value="ConceptMap.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      <definition value="The content was developed with a focus and intent of supporting the contexts that
       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate concept map instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any
       of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.useContext"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.jurisdiction">
      <path value="ConceptMap.jurisdiction"/> 
      <short value="Intended jurisdiction for concept map (if applicable)"/> 
      <definition value="A legal or geographic region in which the concept map is intended to be used."/> 
      <comment value="It may be possible for the concept map to be used in jurisdictions other than those
       for which it was originally designed or intended.

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to
       using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code
       indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction
       and useContext.valueCodeableConcept indicating the jurisdiction.)"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.jurisdiction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.purpose">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.purpose"/> 
      <short value="Why this concept map is defined"/> 
      <definition value="Explanation of why this concept map is needed and why it has been designed as it
       has."/> 
      <comment value="This element does not describe the usage of the concept map. Instead, it provides
       traceability of ''why'' the resource is either needed or ''why'' it is defined
       as it is.  This may be used to point to source materials or specifications that
       drove the structure of this concept map."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.purpose"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.copyright">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the concept map and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the concept
       map."/> 
      <comment value="Frequently the copyright differs between the concept map and codes that are included.
       The copyright statement should clearly differentiate between these when required."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the concept
       map and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.copyright"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.copyrightLabel">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/> 
      </extension> 
      <path value="ConceptMap.copyrightLabel"/> 
      <short value="Copyright holder and year(s)"/> 
      <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that
       identifies the copyright holder, effective period, and optionally whether rights
       are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software
       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.copyrightLabel"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.approvalDate">
      <path value="ConceptMap.approvalDate"/> 
      <short value="When the ConceptMap was approved by publisher"/> 
      <definition value="The date on which the resource content was approved by the publisher. Approval
       happens once when the content is officially approved for usage."/> 
      <comment value="The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.approvalDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.lastReviewDate">
      <path value="ConceptMap.lastReviewDate"/> 
      <short value="When the ConceptMap was last reviewed by the publisher"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not
       been reviewed in a long time may have a risk of being less appropriate/relevant."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.lastReviewDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.effectivePeriod">
      <path value="ConceptMap.effectivePeriod"/> 
      <short value="When the ConceptMap is expected to be used"/> 
      <definition value="The period during which the ConceptMap content was or is planned to be in active
       use."/> 
      <comment value="The effective period for a ConceptMap  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a map
       intended to be used for the year 2016 might be published in 2015.

See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows
       for a sunsetting process when new versions of the ConceptMap are or are expected
       to be used instead."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.effectivePeriod"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.topic">
      <path value="ConceptMap.topic"/> 
      <short value="E.g. Education, Treatment, Assessment, etc"/> 
      <definition value="Descriptions related to the content of the ConceptMap. Topics provide a high-level
       categorization as well as keywords for the ConceptMap that can be useful for filtering
       and searching."/> 
      <comment value="DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to
       using the new 'topic' code in the useContext element.  (I.e. useContext.code indicating
       http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableCo
      ncept indicating the topic)"/> 
      <requirements value="Repositories must be able to determine how to categorize the ConceptMap so that
       it can be found by topical and keyword searches."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.topic"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DefinitionTopic"/> 
        </extension> 
        <strength value="example"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.author">
      <path value="ConceptMap.author"/> 
      <short value="Who authored the ConceptMap"/> 
      <definition value="An individiual or organization primarily involved in the creation and maintenance
       of the ConceptMap."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.author"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.editor">
      <path value="ConceptMap.editor"/> 
      <short value="Who edited the ConceptMap"/> 
      <definition value="An individual or organization primarily responsible for internal coherence of the
       ConceptMap."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.editor"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.reviewer">
      <path value="ConceptMap.reviewer"/> 
      <short value="Who reviewed the ConceptMap"/> 
      <definition value="An individual or organization asserted by the publisher to be primarily responsible
       for review of some aspect of the ConceptMap."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.reviewer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.endorser">
      <path value="ConceptMap.endorser"/> 
      <short value="Who endorsed the ConceptMap"/> 
      <definition value="An individual or organization asserted by the publisher to be responsible for officially
       endorsing the ConceptMap for use in some setting."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.endorser"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.relatedArtifact">
      <path value="ConceptMap.relatedArtifact"/> 
      <short value="Additional documentation, citations, etc"/> 
      <definition value="Related artifacts such as additional documentation, justification, dependencies,
       bibliographic references, and predecessor and successor artifacts."/> 
      <comment value="Each related artifact is either an attachment, or a reference to another resource,
       but not both."/> 
      <requirements value="A ConceptMap must be able to provide enough information for consumers of the content
       (and/or interventions or results produced by the content) to be able to determine
       and understand the justification for and evidence in support of the content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.relatedArtifact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.property">
      <path value="ConceptMap.property"/> 
      <short value="Additional properties of the mapping"/> 
      <definition value="A property defines a slot through which additional information can be provided
       about a map from source -&gt; target."/> 
      <comment value="Properties may be used to supply for example, mapping priority, provenance, presentation
       hints, flag as experimental, and additional documentation. Multiple occurrences
       of ConceptMap.group.element.target.property may occur for a ConceptMap.property
       where ConceptMap.group.element.target.property.code is the same and the values
       in ConceptMap.group.element.target.property.value differ."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.property"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="cmd-11"/> 
        <severity value="error"/> 
        <human value="If the property type is code, a system SHALL be specified"/> 
        <expression value="type = 'code' implies system.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.property.id">
      <path value="ConceptMap.property.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.property.extension">
      <path value="ConceptMap.property.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.property.modifierExtension">
      <path value="ConceptMap.property.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.property.code">
      <path value="ConceptMap.property.code"/> 
      <short value="Identifies the property on the mappings, and when referred to in the $translate
       operation"/> 
      <definition value="A code that is used to identify the property. The code is used internally (in ConceptMap.grou
      p.element.target.property.code) and also in the $translate operation."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.property.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.property.uri">
      <path value="ConceptMap.property.uri"/> 
      <short value="Formal identifier for the property"/> 
      <definition value="Reference to the formal meaning of the property."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.property.uri"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.property.description">
      <path value="ConceptMap.property.description"/> 
      <short value="Why the property is defined, and/or what it conveys"/> 
      <definition value="A description of the property - why it is defined, and how its value might be used."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.property.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.property.type">
      <path value="ConceptMap.property.type"/> 
      <short value="Coding | string | integer | boolean | dateTime | decimal | code"/> 
      <definition value="The type of the property value."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.property.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-11"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PropertyType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of a property value."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-property-type|6.0.0-ballot2"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.property.system">
      <path value="ConceptMap.property.system"/> 
      <short value="The CodeSystem from which code values come"/> 
      <definition value="The CodeSystem that defines the codes from which values of type ```code``` in property
       values."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.property.system"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/> 
      </type> 
      <condition value="cmd-11"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.additionalAttribute">
      <path value="ConceptMap.additionalAttribute"/> 
      <short value="Definition of an additional attribute to act as a data source or target"/> 
      <definition value="An additionalAttribute defines an additional data element found in the source or
       target data model where the data will come from or be mapped to. Some mappings
       are based on data in addition to the source data element, where codes in multiple
       fields are combined to a single field (or vice versa)."/> 
      <comment value="Additional attributes are used to define additional data elements where mapping
       data can be found. For an example, see [Specimen Type v2 -&gt; SNOMED CT Mapping(conceptmap-e
      xample-specimen-type.html)"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.additionalAttribute"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.additionalAttribute.id">
      <path value="ConceptMap.additionalAttribute.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.additionalAttribute.extension">
      <path value="ConceptMap.additionalAttribute.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.additionalAttribute.modifierExtension">
      <path value="ConceptMap.additionalAttribute.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.additionalAttribute.code">
      <path value="ConceptMap.additionalAttribute.code"/> 
      <short value="Identifies this additional attribute through this resource"/> 
      <definition value="A code that is used to identify this additional data attribute. The code is used
       internally in ConceptMap.group.element.target.dependsOn.attribute and ConceptMap.group.elemen
      t.target.product.attribute."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.additionalAttribute.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.additionalAttribute.uri">
      <path value="ConceptMap.additionalAttribute.uri"/> 
      <short value="Formal identifier for the data element referred to in this attribte"/> 
      <definition value="Reference to the formal definition of the source/target data element. For elements
       defined by the FHIR specification, or using a FHIR logical model, the correct format
       is {canonical-url}#{element-id}."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.additionalAttribute.uri"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.additionalAttribute.description">
      <path value="ConceptMap.additionalAttribute.description"/> 
      <short value="Why the additional attribute is defined, and/or what the data element it refers
       to is"/> 
      <definition value="A description of the additional attribute and/or the data element it refers to
       - why it is defined, and how the value might be used in mappings, and a discussion
       of issues associated with the use of the data element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.additionalAttribute.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.additionalAttribute.type">
      <path value="ConceptMap.additionalAttribute.type"/> 
      <short value="code | Coding | string | boolean | Quantity"/> 
      <definition value="The type of the source data contained in this concept map for this data element."/> 
      <comment value="When the source or target is not content defined by FHIR, some additional application
       logic might be required to map from the FHIR Datatype to the externally defined
       content"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.additionalAttribute.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConceptMapmapAttributeType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of a mapping attribute value."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-attribute-type|6.0.0-ballot2"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.sourceScope[x]">
      <path value="ConceptMap.sourceScope[x]"/> 
      <short value="The source value set that contains the concepts that are being mapped"/> 
      <definition value="Identifier for the source value set that contains the concepts that are being mapped
       and provides context for the mappings.  Limits the scope of the map to source codes
       (ConceptMap.group.element code or valueSet) that are members of this value set."/> 
      <comment value="Should be a version specific reference. URIs SHOULD be absolute. If there is no
       sourceScope or targetScope value set, there is no specified context for the map
       (not recommended).  The sourceScope value set may select codes from either an explicit
       (standard or local) or implicit code system."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.sourceScope[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.targetScope[x]">
      <path value="ConceptMap.targetScope[x]"/> 
      <short value="The target value set which provides context for the mappings"/> 
      <definition value="Identifier for the target value set that provides important context about how the
       mapping choices are made.  Limits the scope of the map to target codes (ConceptMap.group.elem
      ent.target code or valueSet) that are members of this value set."/> 
      <comment value="Should be a version specific reference. URIs SHOULD be absolute. If there is no
       sourceScope or targetScope value set, there is no specified context for the map
       (not recommended).  The targetScope value set may select codes from either an explicit
       (standard or local) or implicit code system."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.targetScope[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ConceptMap.group">
      <path value="ConceptMap.group"/> 
      <short value="Same source and target systems"/> 
      <definition value="A group of mappings that all have the same source and target system."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.id">
      <path value="ConceptMap.group.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.extension">
      <path value="ConceptMap.group.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.modifierExtension">
      <path value="ConceptMap.group.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.source">
      <path value="ConceptMap.group.source"/> 
      <short value="Source system where concepts to be mapped are defined"/> 
      <definition value="An absolute URI that identifies the source system where the concepts to be mapped
       are defined."/> 
      <comment value="This is not needed if the source value set is specified and it contains concepts
       from only a single system."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.source"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.target">
      <path value="ConceptMap.group.target"/> 
      <short value="Target system that the concepts are to be mapped to"/> 
      <definition value="An absolute URI that identifies the target system that the concepts will be mapped
       to."/> 
      <comment value="This is not needed if the target value set is specified and it contains concepts
       from only a single system. The group target may also be omitted if all of the target
       element relationship values are 'not-related-to'."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.target"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element">
      <path value="ConceptMap.group.element"/> 
      <short value="Mappings for a concept from the source set"/> 
      <definition value="Mappings for an individual concept in the source to one or more concepts in the
       target."/> 
      <comment value="Generally, the ideal is that there would only be one mapping for each concept in
       the source value set, but a given concept may be mapped multiple times with different
       comments or dependencies."/> 
      <alias value="code"/> 
      <alias value="concept"/> 
      <alias value="item"/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group.element"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="cmd-4"/> 
        <severity value="error"/> 
        <human value="If noMap is present, target SHALL NOT be present"/> 
        <expression value="(noMap.exists() and noMap=true) implies target.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-5"/> 
        <severity value="error"/> 
        <human value="Either code or valueSet SHALL be present but not both."/> 
        <expression value="(code.exists() and valueSet.empty()) or (code.empty() and valueSet.exists())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.id">
      <path value="ConceptMap.group.element.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.extension">
      <path value="ConceptMap.group.element.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.modifierExtension">
      <path value="ConceptMap.group.element.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.code">
      <path value="ConceptMap.group.element.code"/> 
      <short value="Identifies element being mapped"/> 
      <definition value="Identity (code or path) or the element/item being mapped."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-5"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.display">
      <path value="ConceptMap.group.element.display"/> 
      <short value="Display for the code"/> 
      <definition value="The display for the code. The display is only provided to help editors when editing
       the concept map."/> 
      <comment value="The display is ignored when processing the map."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.display"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.valueSet">
      <path value="ConceptMap.group.element.valueSet"/> 
      <short value="Identifies the set of concepts being mapped"/> 
      <definition value="The set of concepts from the ConceptMap.group.source code system which are all
       being mapped to the target as part of this mapping rule."/> 
      <comment value="If the value set expansion is empty then there are no source concepts to map in
       this rule."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.valueSet"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <condition value="cmd-5"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.noMap">
      <path value="ConceptMap.group.element.noMap"/> 
      <short value="No mapping to a target concept for this source concept"/> 
      <definition value="If noMap = true this indicates that no mapping to a target concept exists for this
       source concept."/> 
      <comment value="If noMap = true, then the behavior of ConceptMap.group.unmapped (if present) does
       not apply."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.noMap"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <condition value="cmd-4"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target">
      <path value="ConceptMap.group.element.target"/> 
      <short value="Concept in target system for element"/> 
      <definition value="A concept from the target value set that this concept maps to."/> 
      <comment value="Ideally there would only be one map, with an 'equivalent' mapping. But multiple
       maps are allowed for several narrower (i.e. source-is-broader-than-target) options,
       or to assert that other concepts are not related."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group.element.target"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="cmd-4"/> 
      <constraint> 
        <key value="cmd-1"/> 
        <severity value="error"/> 
        <human value="If the map is source-is-broader-than-target or not-related-to, there SHALL be some
         comments, unless the status is 'draft'"/> 
        <expression value="comment.exists() or (%resource.status = 'draft') or relationship.empty() or ((relationship
         != 'source-is-broader-than-target') and (relationship != 'not-related-to'))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-7"/> 
        <severity value="error"/> 
        <human value="Either code or valueSet SHALL be present but not both."/> 
        <expression value="(code.exists() and valueSet.empty()) or (code.empty() and valueSet.exists())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.id">
      <path value="ConceptMap.group.element.target.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.extension">
      <path value="ConceptMap.group.element.target.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.modifierExtension">
      <path value="ConceptMap.group.element.target.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.code">
      <path value="ConceptMap.group.element.target.code"/> 
      <short value="Code that identifies the target element"/> 
      <definition value="Identity (code or path) or the element/item that the map refers to."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-7"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.display">
      <path value="ConceptMap.group.element.target.display"/> 
      <short value="Display for the code"/> 
      <definition value="The display for the code. The display is only provided to help editors when editing
       the concept map."/> 
      <comment value="The display is ignored when processing the map."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.display"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.valueSet">
      <path value="ConceptMap.group.element.target.valueSet"/> 
      <short value="Identifies the set of target concepts"/> 
      <definition value="The set of concepts from the ConceptMap.group.target code system which are all
       being mapped to as part of this mapping rule. The effect of using this data element
       is the same as having multiple ConceptMap.group.element.target elements with one
       for each concept in the ConceptMap.group.element.target.valueSet value set."/> 
      <comment value="If the the value set expansion is empty then the source concept(s) are unmapped
       and the behavior of ConceptMap.group.unmapped (if present) applies."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.valueSet"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <condition value="cmd-7"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.relationship">
      <path value="ConceptMap.group.element.target.relationship"/> 
      <short value="related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target
       | not-related-to"/> 
      <definition value="The relationship between the source and target concepts. The relationship is read
       from source to target (e.g. source-is-narrower-than-target)."/> 
      <comment value="This element is labeled as a modifier because it may indicate that there is no
       mapping."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.relationship"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="The 'not-related-to' relationship means that there is no mapping from the source
       to the target, and the mapping cannot be interpreted without knowing this value
       as it could mean the elements are equivalent, totally mismatched or anything in
       between"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConceptMapRelationship"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The relationship between concepts."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|6.0.0-ballot2"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.group.element.target.comment">
      <path value="ConceptMap.group.element.target.comment"/> 
      <short value="Description of status/issues in mapping"/> 
      <definition value="A description of status/issues in mapping that conveys additional information not
       represented in  the structured data."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.comment"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cmd-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.property">
      <path value="ConceptMap.group.element.target.property"/> 
      <short value="Property value for the source -&gt; target mapping"/> 
      <definition value="A property value for this source -&gt; target mapping."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group.element.target.property"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.property.id">
      <path value="ConceptMap.group.element.target.property.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.property.extension">
      <path value="ConceptMap.group.element.target.property.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.property.modifierExtension">
      <path value="ConceptMap.group.element.target.property.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.property.code">
      <path value="ConceptMap.group.element.target.property.code"/> 
      <short value="Reference to ConceptMap.property.code"/> 
      <definition value="A reference to a mapping property defined in ConceptMap.property."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.property.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.property.value[x]">
      <path value="ConceptMap.group.element.target.property.value[x]"/> 
      <short value="Value of the property for this concept"/> 
      <definition value="The value of this property. If the type chosen for this element is 'code', then
       the property SHALL be defined in a ConceptMap.property element and that ConceptMap.property
       element SHALL have a system element."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.property.value[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn">
      <path value="ConceptMap.group.element.target.dependsOn"/> 
      <short value="Other properties required for this mapping"/> 
      <definition value="A set of additional dependencies for this mapping to hold. This mapping is only
       applicable if the specified data attribute can be resolved, and it has the specified
       value."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group.element.target.dependsOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="cmd-6"/> 
        <severity value="error"/> 
        <human value="One of value[x] or valueSet must exist, but not both."/> 
        <expression value="(value.exists() and valueSet.empty()) or (value.empty() and valueSet.exists())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.id">
      <path value="ConceptMap.group.element.target.dependsOn.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.extension">
      <path value="ConceptMap.group.element.target.dependsOn.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.modifierExtension">
      <path value="ConceptMap.group.element.target.dependsOn.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.attribute">
      <path value="ConceptMap.group.element.target.dependsOn.attribute"/> 
      <short value="A reference to a mapping attribute defined in ConceptMap.additionalAttribute"/> 
      <definition value="A reference to the additional attribute that holds a value the map depends on."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.dependsOn.attribute"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.value[x]">
      <path value="ConceptMap.group.element.target.dependsOn.value[x]"/> 
      <short value="Value of the referenced data element"/> 
      <definition value="Data element value that the map depends on / produces. If the data type is a code,
       that code SHALL come from the .group.source code system for .dependsOn.valueCode
       or from the .group.target code system for .product.valueCode."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.dependsOn.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <condition value="cmd-6"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.dependsOn.valueSet">
      <path value="ConceptMap.group.element.target.dependsOn.valueSet"/> 
      <short value="The mapping depends on a data element with a value from this value set"/> 
      <definition value="This mapping applies if the data element value is a code from this value set."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.element.target.dependsOn.valueSet"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <condition value="cmd-6"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.element.target.product">
      <path value="ConceptMap.group.element.target.product"/> 
      <short value="Other data elements that this mapping also produces"/> 
      <definition value="Product is the output of a ConceptMap that provides additional values that go in
       other attributes / data elemnts of the target data."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ConceptMap.group.element.target.product"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="http://hl7.org/fhir/StructureDefinition/ConceptMap#ConceptMap.group.element.target.dependsOn"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.unmapped">
      <path value="ConceptMap.group.unmapped"/> 
      <short value="What to do when there is no mapping target for the source concept and ConceptMap.group.elemen
      t.noMap is not true"/> 
      <definition value="What to do when there is no mapping to a target concept from the source concept
       and ConceptMap.group.element.noMap is not true. This provides the &quot;default&quot;
       to be applied when there is no target concept mapping specified or the expansion
       of ConceptMap.group.element.target.valueSet is empty."/> 
      <comment value="The 'unmapped' element is ignored if a code is specified to have relationship =
       not-related-to or if ConceptMap.group.element.noMap = true."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="cmd-2"/> 
        <severity value="error"/> 
        <human value="If the mode is 'fixed', either a code or valueSet must be provided, but not both."/> 
        <expression value="(mode = 'fixed') implies ((code.exists() and valueSet.empty()) or (code.empty()
         and valueSet.exists()))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-3"/> 
        <severity value="error"/> 
        <human value="If the mode is 'other-map', a url for the other map must be provided"/> 
        <expression value="(mode = 'other-map') implies otherMap.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-8"/> 
        <severity value="error"/> 
        <human value="If the mode is not 'fixed', code, display and valueSet are not allowed"/> 
        <expression value="(mode != 'fixed') implies (code.empty() and display.empty() and valueSet.empty())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-9"/> 
        <severity value="error"/> 
        <human value="If the mode is not 'other-map', relationship must be provided"/> 
        <expression value="(mode != 'other-map') implies relationship.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="cmd-10"/> 
        <severity value="error"/> 
        <human value="If the mode is not 'other-map', otherMap is not allowed"/> 
        <expression value="(mode != 'other-map') implies otherMap.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.unmapped.id">
      <path value="ConceptMap.group.unmapped.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.unmapped.extension">
      <path value="ConceptMap.group.unmapped.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.unmapped.modifierExtension">
      <path value="ConceptMap.group.unmapped.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ConceptMap.group.unmapped.mode">
      <path value="ConceptMap.group.unmapped.mode"/> 
      <short value="use-source-code | fixed | other-map"/> 
      <definition value="Defines which action to take if there is no match for the source concept in the
       target system designated for the group. One of 3 actions are possible: use the
       unmapped source code (this is useful when doing a mapping between versions, and
       only a few codes have changed), use a fixed code (a default code), or alternatively,
       a reference to a different concept map can be provided (by canonical URL)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.mode"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-3"/> 
      <condition value="cmd-2"/> 
      <condition value="cmd-8"/> 
      <condition value="cmd-9"/> 
      <condition value="cmd-10"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConceptMapGroupUnmappedMode"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines which action to take if there is no match in the group."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|6.0.0-ballot2"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.group.unmapped.code">
      <path value="ConceptMap.group.unmapped.code"/> 
      <short value="Fixed code when mode = fixed"/> 
      <definition value="The fixed code to use when the mode = 'fixed'  - all unmapped codes are mapped
       to a single fixed code."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-2"/> 
      <condition value="cmd-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.unmapped.display">
      <path value="ConceptMap.group.unmapped.display"/> 
      <short value="Display for the code"/> 
      <definition value="The display for the code. The display is only provided to help editors when editing
       the concept map."/> 
      <comment value="The display is ignored when processing the map."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.display"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cmd-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.unmapped.valueSet">
      <path value="ConceptMap.group.unmapped.valueSet"/> 
      <short value="Fixed code set when mode = fixed"/> 
      <definition value="The set of fixed codes to use when the mode = 'fixed'  - all unmapped codes are
       mapped to each of the fixed codes."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.valueSet"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/> 
      </type> 
      <condition value="cmd-2"/> 
      <condition value="cmd-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ConceptMap.group.unmapped.relationship">
      <path value="ConceptMap.group.unmapped.relationship"/> 
      <short value="related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target
       | not-related-to"/> 
      <definition value="The default relationship value to apply between the source and target concepts
       when the source code is unmapped and the mode is 'fixed' or 'use-source-code'."/> 
      <comment value="This element is labeled as a modifier because it may indicate that there is no
       mapping."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.relationship"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <condition value="cmd-9"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="The 'not-related-to' relationship means that there is no mapping from the source
       to the target, and the mapping cannot be interpreted without knowing this value
       as it could mean the elements are equivalent, totally mismatched or anything in
       between"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="UnmappedConceptMapRelationship"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The default relationship value to apply between the source and target concepts
         when no concept mapping is specified."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|6.0.0-ballot2"/> 
      </binding> 
    </element> 
    <element id="ConceptMap.group.unmapped.otherMap">
      <path value="ConceptMap.group.unmapped.otherMap"/> 
      <short value="canonical reference to an additional ConceptMap to use for mapping if the source
       concept is unmapped"/> 
      <definition value="The canonical reference to an additional ConceptMap resource instance to use for
       mapping if this ConceptMap resource contains no matching mapping for the source
       concept."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ConceptMap.group.unmapped.otherMap"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/> 
      </type> 
      <condition value="cmd-3"/> 
      <condition value="cmd-10"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ConceptMap">
      <path value="ConceptMap"/> 
      <min value="1"/> 
      <max value="1"/> 
    </element> 
    <element id="ConceptMap.extension:knowledgeRepresentationLevel">
      <path value="ConceptMap.extension"/> 
      <sliceName value="knowledgeRepresentationLevel"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.url">
      <path value="ConceptMap.url"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.version">
      <path value="ConceptMap.version"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.versionAlgorithm[x]">
      <path value="ConceptMap.versionAlgorithm[x]"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.name">
      <path value="ConceptMap.name"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.title">
      <path value="ConceptMap.title"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.status">
      <path value="ConceptMap.status"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.experimental">
      <path value="ConceptMap.experimental"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.publisher">
      <path value="ConceptMap.publisher"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="ConceptMap.description">
      <path value="ConceptMap.description"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
  </differential> 
</StructureDefinition>